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FAMILIA DENTAL WEST GREEN BAY
NPI 1588197149
Clinic/Center - Dental in Green Bay, WI

Active since April 10, 2017
2280 W MASON ST, GREEN BAY, WI 54303(888) 988-4066(847) 496-4850 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2021, Jun 24, 2021, Apr 10, 2017 (3 updates tracked since 2017).

About Familia Dental West Green Bay NPPES

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

FAMILIA DENTAL WEST GREEN BAY (NPI 1588197149) is a healthcare organization registered as a dental in Green Bay, Wisconsin and active in the NPI registry since April 2017. The organization lists Brandon Alexander Taylor, Credentialing & Payer Relations Mgr, as its authorized official.

NPPES Registry Identity

NPI1588197149
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFAMILIA DENTAL WEST GREEN BAY
Location Address2280 W MASON STGreen Bay, WI 54303-4707
Mailing Address2050 E Algonquin Rd Ste 610Schaumburg, IL 60173-4166 · (888) 988-4066 · Fax (847) 496-4850
Phone(888) 988-4066
Fax(847) 496-4850
Organization SubpartNo
Authorized OfficialBrandon Alexander TaylorCredentialing & Payer Relations Mgr · (847) 453-7396
Enumeration DateApril 10, 2017
Last NPPES UpdateOctober 15, 20213 updates tracked since enumeration
NPPES CertifiedOctober 15, 2021
✔ NPI 1588197149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2280 W MASON ST, Green Bay, WI 54303
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Other Providers at the Same Location NPPES 6

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

DR. ARUN KUMAR SHARMA DDS
Dentist (General Practice)
2280 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 321-3501
JENIFER JO ZOBRO RDH
Dental Hygienist
2280 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 321-3501
ELIZABETH MURAYAMA CHAVEZ MATIAS DDS
Dentist (General Practice)
2280 W MASON ST
GREEN BAY, WI 54303
Brown County (888) 988-4066
OLEKSII GUDYM
Dentist (General Practice)
2280 W MASON ST
GREEN BAY, WI 54303
Brown County (888) 988-4066
ALICIA NICOLE GENDRON RDH
Dental Hygienist
2280 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 321-3501
DIMPLEJIT SINGH MANGAT DDS
Dentist (General Practice)
2280 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 321-3501

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 Familia Dental West Green Bay's NPI number?

The NPI number for Familia Dental West Green Bay is 1588197149. It was assigned to this organization in the NPPES registry on April 10, 2017.

Where is Familia Dental West Green Bay located?

Familia Dental West Green Bay is located at 2280 W Mason St, Green Bay, WI 54303. The listed phone number is (888) 988-4066.

What is Familia Dental West Green Bay's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Familia Dental West Green Bay was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.