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OAK GROVE DENTAL ASSOCIATES, LLC
NPI 1235665464
Dentist - General Practice in Green Bay, WI

Active since May 09, 2017
1640 MAIN ST, GREEN BAY, WI 54302(920) 468-6371 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oak Grove Dental Associates, Llc NPPES

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

OAK GROVE DENTAL ASSOCIATES, LLC (NPI 1235665464) is a healthcare organization registered as a general practice in Green Bay, Wisconsin and active in the NPI registry since May 2017. The organization lists Sara Heinemeyer, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1235665464
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOAK GROVE DENTAL ASSOCIATES, LLC
Location Address1640 MAIN STGreen Bay, WI 54302-2639
Mailing Address1640 Main StGreen Bay, WI 54302-2639 · (920) 468-6371
Phone(920) 468-6371
Organization SubpartNo
Authorized OfficialSara HeinemeyerAdministrative Assistant · (920) 733-4787
Enumeration DateMay 9, 2017
✔ NPI 1235665464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 5001068G
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1640 MAIN ST, Green Bay, WI 54302
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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 3

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

OAK GROVE DENTAL ASSOCIATES, LLC
Dentist (General Practice)
1640 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 468-6371
DR. JOSEPHINE MARYETTA VAN ESS DDS
Dentist (General Practice)
1640 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 468-6371
DR. SCOTT ROBERT GREATENS D.D.S.
Dentist (General Practice)
1640 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 468-6371

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 Oak Grove Dental Associates, LLC's NPI number?

The NPI number for Oak Grove Dental Associates, LLC is 1235665464. It was assigned to this organization in the NPPES registry on May 9, 2017.

Where is Oak Grove Dental Associates, LLC located?

Oak Grove Dental Associates, LLC is located at 1640 Main St, Green Bay, WI 54302. The listed phone number is (920) 468-6371.

What is Oak Grove Dental Associates, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Oak Grove Dental Associates, LLC was last updated on May 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.