| Pierre Periodontal Clinic | |
|
2626 S Oneida St Green Bay WI 54304 | |
| (920) 499-2991 | |
| (920) 499-9441 |
| Full Name | Pierre Periodontal Clinic |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2626 S Oneida St, Green Bay, Wisconsin |
| Authorized Official Name and Position | Douglas F Pierre (OWNER PRESIDENT) |
| Authorized Official Contact | 9204992991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pierre Periodontal Clinic 2626 S Oneida St Green Bay WI 54304 Ph: (920) 499-2991 | Pierre Periodontal Clinic 2626 S Oneida St Green Bay WI 54304 Ph: (920) 499-2991 |
| NPI Number | 1205901741 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205901741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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