Voyager Drive Dental, SC

Primary specialty

DentistTaxonomy code 122300000X

License

0003115 Issued in WI

Legal business name

VOYAGER DRIVE DENTAL, SC

Practice address

3071 Voyager Dr Ste B
Green Bay, WI 54311-8352

Phone

(920) 465-9887

Fax

(920) 465-0188

NPI assigned

Mar 13, 2007

Last updated

Aug 3, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

S. Patrick Maraka

Title

Owner

Phone

(920) 465-9887

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caleb Joseph Abfall, DDS

  • General Practice Dentistry
  • Green Bay, WI
  • NPI 1336851765
  NPD (past)
• Robert Louis Snyder, DDS

  • Dentist
  • Green Bay, WI
  • NPI 1861525461
  NPD (past)
• Mason P Wistenberg

  • General Practice Dentistry
  • Green Bay, WI
  • NPI 1780278283
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1124151741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 VOYAGER DR STE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118352",
            "telephone_number": "920-465-9887",
            "fax_number": "920-465-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 VOYAGER DR STE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118352",
            "telephone_number": "920-465-9887",
            "fax_number": "920-465-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOYAGER DRIVE DENTAL, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "MARAKA",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-465-9887"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "0003115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syphay Vongkhamchanh, CRNA
• Stephanie Lynn Vorpahl
• Voss Eyecare SC
• Jade Vosters, APNP
• Samantha Vouyiouklis, MD
• Voyager Family Dental LLC
• Michelle L Waack, MAC, LPC, CSAC
• Jennifer M Wachowiak, PMHNP-BC
• Heather J. Wade Newell, MD
• William Joseph Wadzinski, MD

• Dentist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.