DR. MICHAEL M MISKELLA


Address: 2353 S Ridge Rd, Green Bay, WI 54304-5069
Phone: 9204990471

DR. MICHAEL M MISKELLA (NPI# 1588688105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588688105
Entity Type Individual
Full Name DR. MICHAEL M MISKELLA
Credential D.D.S.
Practice Address 2353 S Ridge Rd
Green Bay
WI 54304-5069
Practice Telephone 9204990471
Practice Fax Number 9204998312
Mailing Telephone 9204990471
Mailing Fax Number 9204998312
Enumeration Date 2006-07-27
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
5000673 WI Dental Providers

Office Location

Street Address 2353 S RIDGE RD
City GREEN BAY
State WI
Zip Code 54304-5069

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588170716 Baycare Clinic, LLP Plastic Surgery 2353 S Ridge Rd, Green Bay, WI 54304-5069 2017-12-26
1154869667 Sarah J Burton Registered Nurse 2353 S Ridge Rd, Green Bay, WI 54304-5069 2017-02-03
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
1881608974 Andrew R Lulloff 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

Providers in the same zip code

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 Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427270776 Bay Oral Surgery & Implant Center, Ltd Dentist 2353 S Ridge Road, Green Bay, WI 54304 2007-05-03
1578583654 William J Nelson Dentist 2581 Development Dr, Green Bay, WI 54311-4247 2006-07-20
1396001483 Chad Randall Seubert Dentist 2581 Development Dr, Green Bay, WI 54311-4247 2012-04-03
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

Competitor

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City GREEN BAY
Zip Code 54304

Improve Information

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Dataset Information

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.

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