DR. PAULA S. CRUM, S.C. (NPI# 1710018882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710018882 |
| Entity Type | Organization |
| Organization Name | DR. PAULA S. CRUM, S.C. |
| Practice Address |
2581 Development Dr Suite 204 Green Bay WI 54311-4247 |
| Practice Telephone | 9203472640 |
| Practice Fax Number | 9203472641 |
| Mailing Telephone | 9203472640 |
| Mailing Fax Number | 9203472641 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PAULA S. CRUM (PRESIDENT) |
| Authorized Official Telephone | 9203472640 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3119 | WI | Dental Providers |
| Street Address |
2581 DEVELOPMENT DR SUITE 204 |
| 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 |
| 1396001483 | Chad Randall Seubert | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2012-04-03 |
| 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 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 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 |
| 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 |
| 1013931823 | William Arthur Brennan | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2006-07-26 |
| 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 |
| 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.