DR. WILLIAM ARTHUR BRENNAN (NPI# 1013931823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013931823 |
Entity Type | Individual |
Full Name | DR. WILLIAM ARTHUR BRENNAN |
Credential | D.D.S. |
Practice Address |
430 Main St Green Bay WI 54301-5115 |
Mailing Address |
405 E Tallgrass Dr Appleton WI 54913-7502 |
Practice Telephone | 9204311745 |
Practice Fax Number | 9204311715 |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
0004656-015 | WI | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 33725800 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578784468 | William A. Brennan | Neurological Surgery | 4212 W Congress Street, Suite 3500, Lafayette, LA 70506-6765 | 2007-05-01 |
1497971386 | William J. Brennan | Dentist | 23 Father Jogues Pl, Suite1, Ticonderoga, NY 12883-1407 | 2007-04-18 |
1235142746 | William Michael Brennan Sr. | Dentist | 5133 Washington St, Downers Grove, IL 60515 | 2006-08-14 |
1578100376 | William Michael Brennan | Specialist/Technologist | 540 S Main St, Lapeer, MI 48446-2467 | 2019-11-30 |
1346624822 | William Brennan | Social Worker | 75 N Mountain Rd, New Britain, CT 06053-3468 | 2015-07-15 |
1245370121 | William C. Brennan | Psychologist | 26 N Main St, Pennington, NJ 08534-2203 | 2007-02-08 |
1265501175 | William Michael Brennan Jr. | Dentist | 5133 Washington St, Suite 4, Downers Grove, IL 60515-4788 | 2006-11-06 |
1336231869 | William Moyer Brennan | Physician Assistant | 2732 N Alvernon Way, Tucson, AZ 85712-1804 | 2006-09-29 |
1225053978 | William Brennan | Specialist | 460 W 34th St, New York, NY 10001-2320 | 2006-07-13 |
1659319507 | William Patrick Brennan Jr. | Pharmacist | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-06-03 |
Street Address |
430 MAIN ST |
City | GREEN BAY |
State | WI |
Zip Code | 54301-5115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154326924 | John E Zweig | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2005-06-16 |
1861025090 | Keith Davis | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2020-02-17 |
1780232827 | Pranav Bhide | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2019-09-02 |
1174180301 | Lalinda Wickramasinghe | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2019-05-23 |
1063906188 | Hassan Alshehabi | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2018-06-21 |
1235621756 | Jiulin Zhu | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2018-05-31 |
1902323298 | Gergana Naskova Nikolova | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2017-08-28 |
1922528157 | Pamela Sehra | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2017-06-20 |
1982098323 | Jennifer Yessa | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2015-03-24 |
1841681525 | Farashta Sediqzad | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2015-02-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
Find all providers in zip 54301 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275673550 | Patrick E Laughlin | Dentist | 204 Siegler St, Green Bay, WI 54303-9202 | 2007-02-07 |
1205901741 | Pierre Periodontal Clinic | Dentist | 2626 S Oneida St, Green Bay, WI 54304 | 2006-11-21 |
1902323298 | Gergana Naskova Nikolova | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2017-08-28 |
1336378652 | Douglas F Pierre | Dentist | 2626 S Oneida St, Green Bay, WI 54304-5302 | 2009-07-08 |
1710018882 | Dr. Paula S. Crum, S.c. | Dentist | 2581 Development Dr, Suite 204, Green Bay, WI 54311-4247 | 2007-03-08 |
1790816874 | Paula S. Crum | Dentist | 2581 Development Dr, Suite 204, Green Bay, WI 54311-4247 | 2007-03-08 |
1336211614 | Eric Scott Brockman | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2006-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235683830 | Phillip Crum | Dentist | 2581 Development Dr Ste 204, Bellevue, WI 54311-4248 | 2016-08-11 |
1285937557 | Craig William Byers | Dentist | 2457 North Mayfair Road, Suite 102, Wauwatosa, WI 53226-1405 | 2010-12-08 |
1558662387 | Jason William Cooke | Dentist | 2557b E Calumet St, Appleton, WI 54915-4748 | 2010-11-10 |
1780998997 | Thomas C. Kelley Dds Msd LLC | Dentist | 17280 W North Ave Ste 203, Brookfield, WI 53045-4366 | 2010-07-29 |
1376789933 | Shoreline Periodontics Limited | Dentist | 2808 Kohler Memorial Dr, Suite 2, Sheboygan, WI 53081-3177 | 2008-12-31 |
1003052895 | James P. Herman | Dentist | 5624 S Bonnie Ln, Hales Corners, WI 53130-1674 | 2008-12-28 |
1760684930 | Jeffrey Joseph Burke | Dentist | 2323 S 109th St Ste 275, West Allis, WI 53227-1912 | 2007-06-01 |
1992915276 | Scott George Metskas | Dentist | 3364 Iris Ln, Stevens Point, WI 54481-5618 | 2007-05-23 |
1134339500 | Fox River Periodontics Sc | Dentist | 2557b East Calumet St, Appleton, WI 54915 | 2007-05-23 |
1891903043 | Denise Y Shih | Dentist | 2853 N Marietta Ave, Milwaukee, WI 53211-3420 | 2007-05-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.