DR. CHAD RANDALL SEUBERT (NPI# 1396001483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396001483 |
Entity Type | Individual |
Full Name | DR. CHAD RANDALL SEUBERT |
Credential | D.D.S |
Practice Address |
2581 Development Dr Green Bay WI 54311-4247 |
Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
Practice Telephone | 9203470400 |
Practice Fax Number | 9203470868 |
Enumeration Date | 2012-04-03 |
Last Update Date | 2016-07-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
1001261 | WI | Dental Providers |
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
362 | OK | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104451665 | Chad Seubert | Pharmacist | 240 E Hampton Rd, Whitefish Bay, WI 53217-5850 | 2020-03-05 |
Street Address |
2581 DEVELOPMENT DR |
City | GREEN BAY |
State | WI |
Zip Code | 54311-4247 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578583654 | William J Nelson | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2006-07-20 |
1619174877 | Brandon E Newell | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2007-06-29 |
1174732572 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 2581 Development Dr, Green Bay, WI 54311-4247 | 2007-05-22 |
1841419587 | Nicolas Abujamra Dds Ms Ltd | Dentist | 2581 Development Dr, Suite 102, Green Bay, WI 54311-4247 | 2007-04-24 |
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 |
1720123201 | Nicolas Fawzi Abujamra | Dentist | 2581 Development Dr, Suite 102, Green Bay, WI 54311-4247 | 2007-02-21 |
1174545982 | Steve A Zent | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2006-07-24 |
1760403570 | Michael J Schuh | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2006-07-21 |
1124049820 | Gregory W Welsh | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2006-07-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
Find all providers in zip 54311 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427270776 | Bay Oral Surgery & Implant Center, Ltd | Dentist | 2353 S Ridge Road, Green Bay, WI 54304 | 2007-05-03 |
1588688105 | Michael M Miskella | Dentist | 2353 S Ridge Rd, Green Bay, WI 54304-5069 | 2006-07-27 |
1578583654 | William J Nelson | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2006-07-20 |
1861592529 | Bernadette L Wilson | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2006-09-23 |
1922019405 | Timothy J Flanigan | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2006-08-10 |
1447264502 | David L Lemoine | Dentist | 2353 S Ridge Rd, Green Bay, WI 54304-5069 | 2006-07-27 |
1447274071 | Vijay S Parmar | Dentist | 2353 S Ridge Rd, Green Bay, WI 54304-5069 | 2006-07-27 |
1013921196 | Bradley S Koch | Dentist | 2353 S Ridge Rd, Green Bay, WI 54304-5069 | 2006-07-27 |
1356355424 | Jason L Lemoine | Dentist | 2353 S Ridge Rd, Green Bay, WI 54304-5069 | 2006-07-27 |
1174545982 | Steve A Zent | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2006-07-24 |
Find all providers in GREEN BAY |
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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.