MEDICAL ARTS COMPLEX DENTAL CENTER, S.C.
NPI 1376626325
Dentist - General Practice in Green Bay, WI

NPI Status: Active since October 23, 2006

Contact Information

704 S WEBSTER AVE
GREEN BAY, WI
ZIP 54301
Phone: (920) 435-6894
Fax: (920) 435-7676

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Dentist
General Practice

About MEDICAL ARTS COMPLEX DENTAL CENTER, S.C.

This page provides the complete NPI Profile along with additional information for Medical Arts Complex Dental Center, S.c., a provider established in Green Bay, Wisconsin operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1376626325 assigned on October 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 4416 (WI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Gary C. Noble D.d.s. (Vice-president)

NPI: 1376626325
Provider Name: MEDICAL ARTS COMPLEX DENTAL CENTER, S.C.
Entity Type: Organization
Location Address: 704 S WEBSTER AVE GREEN BAY, WI 54301
Location Phone: (920) 435-6894
Location Fax: (920) 435-7676
Mailing Address: 704 S WEBSTER AVE GREEN BAY, WI 54301
Mailing Phone: (920) 435-6894
Mailing Fax: (920) 435-7676
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-23-2006
Last Update Date: 08-22-2020
Code Navigator

A dentist like Medical Arts Complex Dental Center, S.c. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dentist General Practice
Taxonomy Code: 1223G0001X
Type: Dental Providers
License No.: 4416
License State: WI
Taxonomy Description: 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. GARY C. NOBLE D.D.S.
Authorized Official Title: VICE-PRESIDENT
Authorized Official Phone: (920) 435-6894

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
33777700	MEDICAID (05)	WI
33571900	MEDICAID (05)	WI
33734500	MEDICAID (05)	WI
33759300	MEDICAID (05)	WI
33738400	MEDICAID (05)	WI
33461900	MEDICAID (05)	WI

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	3	7	6	6	2	6	3	2	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	14	6	12	2	12	3	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 2 + 2 + 1 + 2 + 3 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5									5

The NPI number 1376626325 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. PAMELA C BAETEN M.D.

Internal Medicine

(Endocrinology, Diabetes & Metabolism)

704 S WEBSTER AVE
STE 500
GREEN BAY, WI
ZIP 54301

About MEDICAL ARTS COMPLEX DENTAL CENTER, S.C.

Location Map

Specialty - Primary Taxonomy

Dentist General Practice

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

Insurance Plans Accepted

Medicare

Medicaid

Authorized Official

DR. GARY C. NOBLE D.D.S.

Additional Identifiers

Reviews for MEDICAL ARTS COMPLEX DENTAL CENTER, S.C.

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is MEDICAL ARTS COMPLEX DENTAL CENTER, S.C.'s NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does MEDICAL ARTS COMPLEX DENTAL CENTER, S.C. accept?