SearchWisconsinGeneral Practice Dentistry

Scott Quandt

NPI 1366566101 · on the registry since 2007

Practice

Address
2280 Holmgren Way
Green Bay, WI 54304
Phone
(920) 499-6466
Organisation at this address
Greenbayctd Llc
Inferred from a shared address, not stated in the registry.

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