GREEN BAY DENTAL PROFESSIONALS LLC
NPI 1790442838
Dentist in Green Bay, WI

Q: What is Green Bay Dental Professionals LLC's NPI number?

The NPI number for Green Bay Dental Professionals LLC is 1790442838. It was assigned to this organization in the NPPES registry on November 23, 2021.

Q: What is Green Bay Dental Professionals LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since November 23, 2021

1551 PARK PL STE 300, GREEN BAY, WI 54304(920) 345-5150 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Green Bay Dental Professionals Llc NPPES

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

GREEN BAY DENTAL PROFESSIONALS LLC (NPI 1790442838) is a healthcare organization registered as a dentist in Green Bay, Wisconsin and active in the NPI registry since November 2021. The organization lists Mitch Weiland, Assistant Controller, as its authorized official.

NPPES Registry Identity

NPI1790442838

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameGREEN BAY DENTAL PROFESSIONALS LLC

Location Address1551 PARK PL STE 300Green Bay, WI 54304-1969

Mailing Address8025 Excelsior DrMadison, WI 53717-1900 · (608) 343-0818

Phone(920) 345-5150

Organization SubpartNo

Authorized OfficialMitch WeilandAssistant Controller · (608) 343-0818

Enumeration DateNovember 23, 2021

NPPES CertifiedNovember 23, 2021

✔ NPI 1790442838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1551 PARK PL STE 300, Green Bay, WI 54304

Open in Google Maps ↗

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 6

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

HUSSAM JABER

Dentist (General Practice)