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MDC BELLEVUE, L.L.C.
NPI 1396105474
Dentist - General Practice in Green Bay, WI

Active since March 02, 2016
2040 CENTRAL CT, GREEN BAY, WI 54311(920) 468-0504 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mdc Bellevue, L.l.c. NPPES

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

MDC BELLEVUE, L.L.C. (NPI 1396105474) is a healthcare organization registered as a general practice in Green Bay, Wisconsin and active in the NPI registry since March 2016. The organization lists William C Mauthe, Owner, as its authorized official.

NPPES Registry Identity

NPI1396105474
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMDC BELLEVUE, L.L.C.
Location Address2040 CENTRAL CTGreen Bay, WI 54311-6276
Mailing Address7 Sheboygan StFond Du Lac, WI 54935-4281 · (920) 922-8171
Phone(920) 468-0504
Organization SubpartNo
Authorized OfficialWilliam C MautheOwner · (920) 921-1244
Enumeration DateMarch 2, 2016
✔ NPI 1396105474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2040 CENTRAL CT, Green Bay, WI 54311
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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.

DR. AUSTIN GILBERTO LOPEZ DMD
Dentist
2040 CENTRAL CT
GREEN BAY, WI 54311
Brown County (920) 633-3215
DR. DAVID JEROME DEGRAVE DDS
Dentist (General Practice)
2040 CENTRAL CT
GREEN BAY, WI 54311
Brown County (920) 468-0504
DR. CHRISTOPHER PATRICK LAWS DDS
Dentist
2040 CENTRAL CT
GREEN BAY, WI 54311
Brown County (920) 468-0504

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 Mdc Bellevue, L.L.C.'s NPI number?

The NPI number for Mdc Bellevue, L.L.C. is 1396105474. It was assigned to this organization in the NPPES registry on March 2, 2016.

Where is Mdc Bellevue, L.L.C. located?

Mdc Bellevue, L.L.C. is located at 2040 Central Ct, Green Bay, WI 54311. The listed phone number is (920) 468-0504.

What is Mdc Bellevue, L.L.C.'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 Mdc Bellevue, L.L.C. was last updated on March 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.