DR. JOHN MICHAEL FAY II (NPI# 1396769576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396769576 |
| Entity Type | Individual |
| Full Name | DR. JOHN MICHAEL FAY II |
| Credential | DDS |
| Practice Address |
1543 Park Pl Green Bay WI 54304-1970 |
| Practice Telephone | 9204971566 |
| Practice Fax Number | 9204994932 |
| Mailing Telephone | 9204971566 |
| Mailing Fax Number | 9204994932 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4580 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013362102 | John Fay | Counselor | 711 Cosmopolitan Dr Ne Unit 325, Atlanta, GA 30324-3622 | 2016-04-26 |
| 1881869501 | John T Fay | Pharmacist | 3113 Rte 22, Patterson, NY 12563-2342 | 2008-04-23 |
| 1104888783 | John Matthew Fay | Family Medicine | 3917 West Road, Suite A Mannm, Los Alamos, NM 87544 | 2006-04-06 |
| Street Address |
1543 PARK PL |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-1970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356367023 | James Edward Memmen | Ophthalmology | 1543 Park Pl, Suite 400, Green Bay, WI 54304-1970 | 2006-07-14 |
| 1679805642 | Best Optical LLC | Specialist | 1543 Park Pl, Suite 400, Green Bay, WI 54304-1970 | 2010-02-02 |
| 1104972033 | Brian M Thielen | Dentist | 1543 Park Pl, Suite 300, Green Bay, WI 54304-1970 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1588197149 | Familia Dental West Green Bay | Dentist | 2280 W Mason St, Green Bay, WI 54303-4707 | 2017-04-10 |
| 1225489974 | Nicholas Van Ess | Dentist | 1640 Main St Stop 1, Green Bay, WI 54302-2639 | 2016-06-23 |
| 1063822328 | Jessica Leigh Pasono | Dentist | 2609 Development Dr, Green Bay, WI 54311 | 2014-05-07 |
| 1063622645 | Echo Ridge Dental Clinic | Dentist | 2140 S. Ridge Rd., Green Bay, WI 54304 | 2007-05-23 |
| 1710191085 | Lisa Rachel Piontek | Dentist | 526 S Monroe Ave, Green Bay, WI 54301-4018 | 2007-05-09 |
| 1831301290 | Family Dental Center of Green Bay, S.c. | Dentist | 2247 Fox Heights Ln, Green Bay, WI 54304-4747 | 2007-05-05 |
| 1194946079 | Kirk Richard Fishbaugh | Dentist | 2625 Tulip Ln, Green Bay, WI 54313-6855 | 2007-05-01 |
| Find all providers in GREEN BAY | ||||
Please comment or provide details below to improve the information on DR. JOHN MICHAEL FAY II.
| 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.