DR. TIMOTHY J FLANIGAN (NPI# 1922019405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922019405 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY J FLANIGAN |
| Credential | D.D.S. |
| Practice Address |
430 Main St Green Bay WI 54301-5115 |
| Mailing Address |
3417 Blackberry Ln Green Bay WI 54313-8780 |
| Practice Telephone | 9204310345 |
| Practice Fax Number | 9204311715 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |
| 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 |
3198 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33733200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679512354 | Timothy P Flanigan | Internal Medicine | 164 Summit Ave, Fain Bldg., Suite E, Providence, RI 02906-2853 | 2006-06-06 |
| Street Address |
430 MAIN ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154326924 | John E Zweig | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2005-06-16 |
| 1861025090 | Keith Davis | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2020-02-17 |
| 1780232827 | Pranav Bhide | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2019-09-02 |
| 1174180301 | Lalinda Wickramasinghe | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2019-05-23 |
| 1063906188 | Hassan Alshehabi | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2018-06-21 |
| 1235621756 | Jiulin Zhu | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2018-05-31 |
| 1902323298 | Gergana Naskova Nikolova | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2017-08-28 |
| 1922528157 | Pamela Sehra | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2017-06-20 |
| 1982098323 | Jennifer Yessa | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2015-03-24 |
| 1841681525 | Farashta Sediqzad | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2015-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| 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 |
| 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 |
| 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.