DR. PAUL HERBERT DERNEHL DDS
NPI 1508924598
Dentist - General Practice in Green Bay, WI

Active since December 04, 2006
211 N BROADWAY, SUITE 212, GREEN BAY, WI 54303(920) 435-3038 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul Herbert Dernehl Dds NPPES

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

DR. PAUL HERBERT DERNEHL DDS (NPI 1508924598) is an individual general practice provider in Green Bay, Wisconsin, licensed in Wisconsin (2265) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1508924598
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PAUL HERBERT DERNEHLCredential: DDS
Location Address211 N BROADWAY, SUITE 212Green Bay, WI 54303-2757
Mailing Address211 N Broadway, Suite 212Green Bay, WI 54303-2757 · (920) 435-3038
Sole ProprietorYes
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1508924598 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 · 2265
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.
211 N BROADWAY, Green Bay, WI 54303

Other Identifiers 1

Medicaid33392800WI

Other Providers at the Same Location NPPES 2

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

Ophthalmology
211 N BROADWAY, STE 103
GREEN BAY, WI 54303
Ophthalmology
211 N BROADWAY, SUITE 103
GREEN BAY, WI 54303

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 Paul Dernehl's NPI number?

The NPI number for Paul Dernehl is 1508924598. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Paul Dernehl located?

Paul Dernehl practices at 211 N Broadway Suite 212, Green Bay, WI 54303. The listed phone number is (920) 435-3038.

What is Paul Dernehl'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 Paul Dernehl was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.