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EASTRIDGE DENTAL
NPI 1184775892
Dentist in Green Bay, WI

Active since January 16, 2007
2343 E MASON ST, GREEN BAY, WI 54302(920) 468-8144 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eastridge Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTRIDGE DENTAL (NPI 1184775892) is a healthcare organization registered as a dentist in Green Bay, Wisconsin and active in the NPI registry since January 2007. The organization lists John E. Patrickus, President, as its authorized official.

NPPES Registry Identity

NPI1184775892
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameEASTRIDGE DENTAL ASSOCIATES, S.C.
Location Address2343 E MASON STGreen Bay, WI 54302-3764
Mailing Address2343 E. Mason StreetGreen Bay, WI 54302 · (920) 468-8144
Phone(920) 468-8144
Organization SubpartNo
Authorized OfficialJohn E. PatrickusPresident · (920) 468-8144
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 1, 2008
✔ NPI 1184775892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2343 E MASON ST, Green Bay, WI 54302
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Other Names 1

Doing Business AsEastridge Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAROLYN WEMBER MEIER D.D.S.
Dentist (General Practice)
2343 E MASON ST
GREEN BAY, WI 54302
Brown County (920) 468-8144
JOHN E PATRICKUS DDS
Dentist
2343 E MASON ST
GREEN BAY, WI 54302
Brown County (920) 468-8144
N.E.W. SNORING & SLEEP APNEA CENTER, S.C.
Dentist
2343 E MASON ST
GREEN BAY, WI 54302
Brown County (920) 468-4646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastridge Dental Associates, S.C.'s NPI number?

The NPI number for Eastridge Dental Associates, S.C. is 1184775892. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is doing business as Eastridge Dental.

Where is Eastridge Dental Associates, S.C. located?

Eastridge Dental Associates, S.C. is located at 2343 E Mason St, Green Bay, WI 54302. The listed phone number is (920) 468-8144.

What is Eastridge Dental Associates, S.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Eastridge Dental Associates, S.C. was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.