1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Dentist
  6. NPI Profile

MASON P WISTENBERG
NPI 1780278283
Dentist - General Practice in Green Bay, WI

Active since February 24, 2021
3071 VOYAGER DR STE B, GREEN BAY, WI 54311(920) 465-9887 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2022, Feb 24, 2021 (2 updates tracked since 2021).

About Mason P Wistenberg NPPES

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

MASON P WISTENBERG (NPI 1780278283) is an individual general practice provider in Green Bay, Wisconsin, licensed in Wisconsin (1002699-15) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1780278283
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMASON P WISTENBERG
Location Address3071 VOYAGER DR STE BGreen Bay, WI 54311-8352
Mailing Address481 Saint Marys BlvdGreen Bay, WI 54301-2607
Phone(920) 465-9887
Sole ProprietorNo
Enumeration DateFebruary 24, 2021
Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1780278283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 1002699-15
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3071 VOYAGER DR STE B, Green Bay, WI 54311
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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.

VOYAGER DRIVE DENTAL, SC
Dentist
3071 VOYAGER DR STE B
GREEN BAY, WI 54311
Brown County (920) 465-9887
VOYAGER FAMILY DENTAL LLC
Dentist (General Practice)
3071 VOYAGER DR STE B
GREEN BAY, WI 54311
Brown County (920) 465-9887
DR. ROBERT LOUIS SNYDER DDS
Dentist
3071 VOYAGER DR STE B
GREEN BAY, WI 54311
Brown County (920) 465-9887

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 Mason Wistenberg's NPI number?

The NPI number for Mason Wistenberg is 1780278283. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Where is Mason Wistenberg located?

Mason Wistenberg practices at 3071 Voyager Dr Ste B, Green Bay, WI 54311. The listed phone number is (920) 465-9887.

What is Mason Wistenberg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mason Wistenberg accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Dominion National and 3 other insurers list Mason Wistenberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mason Wistenberg was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.