Green Bay Dental Professionals LLC
NPI 1790442838ActiveOrganization· Dentist· Green Bay, WI
Dentist in Green Bay, Wisconsin, registered in NPPES in November 2021. The authorized official on file is Mitch Weiland, Assistant Controller.
Overview
| NPI | 1790442838 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 23, 2021 |
| Last updated in NPPES | Nov 23, 2021 |
| Certified by provider | Nov 23, 2021 |
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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