Affordable Dentures & Implants - Green Bay, S.C.
NPI 1003460551ActiveOrganization· Dentist· Green Bay, WI
Dentist in Green Bay, Wisconsin, registered in NPPES in August 2019. The authorized official on file is John Petty, DDS, Owner.
Overview
| NPI | 1003460551 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 1, 2019 |
| Last updated in NPPES | Aug 1, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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