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ALLOUEZ FAMILY DENTAL CENTER SC
NPI 1477639102
Dentist - General Practice in Green Bay, WI

Active since October 27, 2006
2805 LIBAL ST, STE C, GREEN BAY, WI 54301(920) 339-8980(920) 339-0133 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Allouez Family Dental Center Sc NPPES

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

ALLOUEZ FAMILY DENTAL CENTER SC (NPI 1477639102) 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 Paul A Kollath, President, as its authorized official.

NPPES Registry Identity

NPI1477639102
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameALLOUEZ FAMILY DENTAL CENTER SC
Location Address2805 LIBAL ST, STE CGreen Bay, WI 54301-2788
Mailing Address2805 Libal St, Ste CGreen Bay, WI 54301-2877 · Fax (920) 339-0133
Phone(920) 339-8980
Fax(920) 339-0133
Organization SubpartNo
Authorized OfficialPaul A KollathPresident · (920) 339-8980
Enumeration DateOctober 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1477639102 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 · 1857-G
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.
2805 LIBAL ST, Green Bay, WI 54301
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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. DARA TASSON FLINK DDS
Dentist (General Practice)
2805 LIBAL ST, SUITE B
GREEN BAY, WI 54301
Brown County (920) 339-9013
STEVEN R. HEIN, DDS, SC
Dentist (General Practice)
2805 LIBAL ST, SUITE A
GREEN BAY, WI 54301
Brown County (920) 336-6062
MATTHEW ANSON NELSON DDS
Dentist
2805 LIBAL ST, SUITE A
GREEN BAY, WI 54301
Brown County (920) 336-6062

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 Allouez Family Dental Center Sc's NPI number?

The NPI number for Allouez Family Dental Center Sc is 1477639102. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Allouez Family Dental Center Sc located?

Allouez Family Dental Center Sc is located at 2805 Libal St Ste C, Green Bay, WI 54301. The listed phone number is (920) 339-8980.

What is Allouez Family Dental Center Sc'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 Allouez Family Dental Center Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.