Pierre Periodontal Clinic

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PIERRE PERIODONTAL CLINIC

Practice address

2626 S Oneida St
Green Bay, WI 54304

Phone

(920) 499-2991

Fax

(920) 499-9441

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Douglas F Pierre, DDS MS

Title

Owner President

Phone

(920) 499-2991

Specialties & licenses 1

Addresses

Other names 1

• Douglas Pierre DDS MS Other name

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205901741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 S ONEIDA ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54304",
            "telephone_number": "920-499-2991",
            "fax_number": "920-499-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S ONEIDA ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54304",
            "telephone_number": "920-499-2991",
            "fax_number": "920-499-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERRE PERIODONTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "920-499-2991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas Pierre DDS MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dana Pieczynski
• Jeanette Pieper, BSW, CSAC
• Anna Uebele Pierce, M.D.
• Joshua Daniel Pierce, ATC, LAT
• Michael Pierquet, DDS
• Sarah Ann Pierre, PAC
• Allison Pierson
• Edward Pierson
• Michael Pierson, MD
• Rebecca Caroline Pierson, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.