CHILDREN'S DENTAL CLINIC OF GREEN BAY, LLC
NPI 1306543095
Dentist - Pediatric Dentistry in De Pere, WI

Q: What is Children's Dental Clinic Of Green Bay, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since February 13, 2023

534 REDBIRD CIR, DE PERE, WI 54115(920) 336-4002 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Children's Dental Clinic Of Green Bay, Llc NPPES

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

CHILDREN'S DENTAL CLINIC OF GREEN BAY, LLC (NPI 1306543095) is a healthcare organization registered as a pediatric dentistry in De Pere, Wisconsin and active in the NPI registry since February 2023. The organization lists Kaitlin Haws, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1306543095

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameCHILDREN'S DENTAL CLINIC OF GREEN BAY, LLC

Location Address534 REDBIRD CIRDe Pere, WI 54115-8785

Mailing Address534 Redbird CirDe Pere, WI 54115-8785 · (920) 336-4002

Phone(920) 336-4002

Organization SubpartNo

Authorized OfficialKaitlin HawsInsurance Coordinator · (920) 336-4002

Enumeration DateFebruary 13, 2023

NPPES CertifiedFebruary 13, 2023

✔ NPI 1306543095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

534 REDBIRD CIR, De Pere, WI 54115

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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.

CHILDREN'S DENTAL CLINIC OF GREEN BAY, S.C.

Dentist (Pediatric Dentistry)

534 REDBIRD CIR
DE PERE, WI 54115

Brown County (920) 336-4002

DR. VIJAYALAKSHMI SHETTY

Dentist (Pediatric Dentistry)

534 REDBIRD CIR
DE PERE, WI 54115

Brown County (920) 336-4002

DR. MARGARET ANN MILLER DDS

Dentist (Pediatric Dentistry)

534 REDBIRD CIR
DE PERE, WI 54115

Brown County (920) 336-4002

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 Children's Dental Clinic Of Green Bay, LLC's NPI number?

The NPI number for Children's Dental Clinic Of Green Bay, LLC is 1306543095. It was assigned to this organization in the NPPES registry on February 13, 2023.

Where is Children's Dental Clinic Of Green Bay, LLC located?

Children's Dental Clinic Of Green Bay, LLC is located at 534 Redbird Cir, De Pere, WI 54115. The listed phone number is (920) 336-4002.

What is Children's Dental Clinic Of Green Bay, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Children's Dental Clinic Of Green Bay, LLC was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.