SearchWisconsinGeneral Practice Dentistry

Brian Thielen, DMD

NPI 1104972033 · on the registry since 2007 · sole proprietor

Practice

Address
1543 Park Pl
Suite 300
Green Bay, WI 54304
Phone
(920) 405-3600
Fax
(920) 405-9057
Organisation at this address
Best Optical Llc
Fay Dental Care Llc
James E Memmen Md Limited
James E. Memmen, M.D. Limited
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin