Oak Grove Dental Associates, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001068G Issued in WI

Legal business name

OAK GROVE DENTAL ASSOCIATES, LLC

Practice address

1640 Main St
Green Bay, WI 54302-2639

Phone

(920) 468-6371

NPI assigned

May 9, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Sara Heinemeyer

Title

Administrative Assistant

Phone

(920) 733-4787

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Robert Greatens, D.D.S.

  • General Practice Dentistry
  • Green Bay, WI
  • NPI 1932226503
  NPD (past)
• Josephine Maryetta Van Ess, DDS

  • General Practice Dentistry
  • Green Bay, WI
  • NPI 1700309978
  NPD (past)

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1235665464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 MAIN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543022639",
            "telephone_number": "920-468-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 MAIN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543022639",
            "telephone_number": "920-468-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK GROVE DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "HEINEMEYER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "920-733-4787",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001068G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Patrice O'Connor, D.C.
• Wyatt O'Neil
• Margaret O'Toole, D.C
• Michael C O'Toole, MD
• Oak Grove Dental Associates, LLC
• OB-GYN Assoc of Green Bay LTD
• Elizabeth Oberndorfer
• Padraic Rory Obma, M.D.
• Kylene Elizabeth Occhietti, LICSW
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)

• General Practice Dentistry in Green Bay, WI
• Providers in Green Bay, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.