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

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

Active since October 23, 2006

704 S WEBSTER AVE, GREEN BAY, WI 54301(920) 435-6894(920) 435-7676 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Medical Arts Complex Dental Center, S.c. NPPES

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

MEDICAL ARTS COMPLEX DENTAL CENTER, S.C. (NPI 1376626325) is a healthcare organization registered as a general practice in Green Bay, Wisconsin and active in the NPI registry since October 2006. The organization lists Gary C. Noble, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1376626325

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMEDICAL ARTS COMPLEX DENTAL CENTER, S.C.

Location Address704 S WEBSTER AVEGreen Bay, WI 54301-3528

Mailing Address704 S Webster AveGreen Bay, WI 54301-3528 · (920) 435-6894 · Fax (920) 435-7676

Phone(920) 435-6894

Fax(920) 435-7676

Organization SubpartNo

Authorized OfficialGary C. NobleVice-president · (920) 435-6894

Enumeration DateOctober 23, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1376626325 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 · 4416

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.

704 S WEBSTER AVE, Green Bay, WI 54301

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Other Identifiers 6

Medicaid33777700WI

Medicaid33571900WI

Medicaid33734500WI

Medicaid33759300WI

Medicaid33738400WI

Medicaid33461900WI

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