BAY ORAL SURGERY & IMPLANT CENTER, LTD
NPI 1427270776
Dentist - Oral and Maxillofacial Surgery in Green Bay, WI

Q: What is Bay Oral Surgery & Implant Center, Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since May 03, 2007

2353 S RIDGE ROAD, GREEN BAY, WI 54304(920) 499-0471(920) 499-8312 Get Directions Write a Review

NPPES record last updated: December 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bay Oral Surgery & Implant Center, Ltd NPPES

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

BAY ORAL SURGERY & IMPLANT CENTER, LTD (NPI 1427270776), doing business as Bay Oral & Maxillofacial Surgery, Ltd, is a healthcare organization registered as an oral and maxillofacial surgery in Green Bay, Wisconsin and active in the NPI registry since May 2007. The organization lists Ellen M Greene, Practice Adminstrat, as its authorized official.

NPPES Registry Identity

NPI1427270776

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameBAY ORAL SURGERY & IMPLANT CENTER, LTD

Location Address2353 S RIDGE ROADGreen Bay, WI 54304

Mailing Address2353 S Ridge RoadGreen Bay, WI 54304 · (920) 499-0471 · Fax (920) 499-8312

Phone(920) 499-0471

Fax(920) 499-8312

Organization SubpartNo

Authorized OfficialEllen M GreenePractice Adminstrat · (920) 499-0471

Enumeration DateMay 3, 2007

Last NPPES UpdateDecember 16, 2014

✔ NPI 1427270776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2353 S RIDGE ROAD, Green Bay, WI 54304

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Other Names 1

Former Legal Business NameBay Oral & Maxillofacial Surgery, Ltd

Other Identifiers 1

Medicare ID-Type Unspecified76110WI

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

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

DR. CHARLES LEE ELLIS DDS, MD

Dentist (Oral and Maxillofacial Surgery)

2353 S RIDGE ROAD
GREEN BAY, WI 54304

Brown County (920) 499-0471

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 Bay Oral Surgery & Implant Center, Ltd's NPI number?

The NPI number for Bay Oral Surgery & Implant Center, Ltd is 1427270776. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider was formerly known as Bay Oral & Maxillofacial Surgery, Ltd.

Where is Bay Oral Surgery & Implant Center, Ltd located?

Bay Oral Surgery & Implant Center, Ltd is located at 2353 S Ridge Road, Green Bay, WI 54304. The listed phone number is (920) 499-0471.

What is Bay Oral Surgery & Implant Center, Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Bay Oral Surgery & Implant Center, Ltd was last updated on December 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.