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VANDERLEEST DENTAL LLC
NPI 1194460162
Dentist in Green Bay, WI

Active since May 03, 2022
2502 LINEVILLE RD, GREEN BAY, WI 54313(920) 434-3950 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vanderleest Dental Llc NPPES

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

VANDERLEEST DENTAL LLC (NPI 1194460162) is a healthcare organization registered as a dentist in Green Bay, Wisconsin and active in the NPI registry since May 2022. The organization lists Marcus J Vanderleest, Owner, as its authorized official.

NPPES Registry Identity

NPI1194460162
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameVANDERLEEST DENTAL LLC
Location Address2502 LINEVILLE RDGreen Bay, WI 54313-7123
Mailing Address2502 Lineville RdGreen Bay, WI 54313-7123 · (920) 434-3950
Phone(920) 434-3950
Organization SubpartNo
Authorized OfficialMarcus J VanderleestOwner · (920) 434-3950
Enumeration DateMay 3, 2022
NPPES CertifiedMay 3, 2022
✔ NPI 1194460162 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.
2502 LINEVILLE RD, Green Bay, WI 54313
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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

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

BRETT MITCHEL MILLER DDS
Dentist
2502 LINEVILLE RD
GREEN BAY, WI 54313
Brown County (920) 676-0655

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 Vanderleest Dental LLC's NPI number?

The NPI number for Vanderleest Dental LLC is 1194460162. It was assigned to this organization in the NPPES registry on May 3, 2022.

Where is Vanderleest Dental LLC located?

Vanderleest Dental LLC is located at 2502 Lineville Rd, Green Bay, WI 54313. The listed phone number is (920) 434-3950.

What is Vanderleest Dental LLC'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 Vanderleest Dental LLC was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.