DR. DAVID HOWARD JADIN (NPI# 1346667045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346667045 |
| Entity Type | Individual |
| Full Name | DR. DAVID HOWARD JADIN |
| Credential | D.D.S. |
| Practice Address |
1245 Main St Green Bay WI 54302 |
| Mailing Address |
4591 Trellis Dr De Pere WI 54115-5527 |
| Practice Telephone | 9209650831 |
| Mailing Telephone | 9203452346 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2019-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7286-15 | WI | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 25th Ave S, Suite 400, Minneapolis, MN 554541513 | 6126594900 | 6126594901 |
| Street Address |
1245 MAIN ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659721371 | Carissa Marie Sawicki | Counselor | 1234 Main Street, Suite 21, 3rd Floor, Green Bay, WI 54302 | 2016-06-14 |
| 1891181459 | Shannon Rae Mullins | Registered Nurse | 2254 Imperial Ln, Green Bay, WI 54302 | 2015-04-10 |
| 1407003577 | Abby Baumgart | Counselor | 1234-21 Main St, Green Bay, WI 54302 | 2008-08-20 |
| 1447441779 | Muller Eyecare Associates Ltd | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-08-01 |
| 1851385231 | Bornemann Nursing Home Inc | Skilled Nursing Facility | 226 Bornemann St, Green Bay, WI 54302 | 2005-08-31 |
| 1194188706 | Familia Dental Green Bay LLC | Dentist | 1931 Main St., Green Bay, WI 54302 | 2016-03-31 |
| 1255710125 | Kim Lawrence | Social Worker | 1234 Main St., St 21, 3rd Floor, Green Bay, WI 54302 | 2015-05-26 |
| 1255464533 | John Muller | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-03-14 |
| 1851622005 | Michael Andrew Larkey | Social Worker | 815 Reber St, Green Bay, WI 54302-1116 | 2010-01-27 |
| 1801426432 | Sarah Jane Peters | Counselor | 1234 Main St Ste 21, Green Bay, WI 54302-1307 | 2020-01-23 |
| Find all providers in zip 54302 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245302132 | Eric James Van Miller | Dentist | 125 Siegler Street, Green Bay, WI 54303 | 2006-11-15 |
| 1386672772 | James Joseph Conrardy I | Dentist | 125 Siegler St, Green Bay, WI 54303-2635 | 2006-06-28 |
| 1568752335 | Whitney Eichholz | Dentist | 125 Siegler St, Green Bay, WI 54303 | 2011-04-13 |
| 1730397233 | Park-west Pediatric Dental Associates | Dentist | 125 Siegler St, Green Bay, WI 54303-2635 | 2007-05-18 |
| 1649366790 | Meredith Evans | Dentist | 125 Siegler St, Green Bay, WI 54303-2635 | 2006-10-05 |
| 1861587982 | James Louis Van Miller | Dentist | 125 Siegler St, Green Bay, WI 54303 | 2006-10-04 |
| 1598789612 | William Joseph Kline | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2006-07-26 |
| 1235161514 | Heidi Eggers-ulve | Dentist | 1901 S Webster Ave, Suite 1, Green Bay, WI 54301-2281 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478454 | New Richmond Kidds Pediatric Dentistry LLC | Dentist | 1244 N 4th St Ste 300, New Richmond, WI 54017-7540 | 2020-08-21 |
| 1710509484 | Hospital Dentistry for Kids Inc. | Dentist | 4980 S County Rd T, Denmark, WI 54208 | 2020-05-15 |
| 1467808592 | Alexis Colosimo | Dentist | 11035 W Forest Home Ave Ste 116, Hales Corners, WI 53130-2541 | 2016-05-07 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1407257108 | The Kids Dentist LLC | Dentist | 10618 N Port Washington Rd, Mequon, WI 53092-5013 | 2014-09-12 |
| 1144631698 | Jennifer Sinnen | Dentist | 14430 W Greenfield Ave, Brookfield, WI 53005-7036 | 2014-05-17 |
| 1396184370 | Adam Joseph Pamer | Dentist | 1320 S Green Bay Rd, Mt Pleasant, WI 53406-4406 | 2013-06-23 |
| 1255628491 | Ronald J Pruhs | Dentist | 4120 S Lake Dr, Apt. 251, Saint Francis, WI 53235-5954 | 2011-07-08 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 1043452758 | Barbara Lynn Phillips | Dentist | 8815 County Rd J, Woodruff, WI 54568-9636 | 2009-03-26 |
| Find all providers with the same taxonomy | ||||
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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.