Fay Dental Care LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FAY DENTAL CARE LLC

Doing business as

Fay Dental Care

Practice address

1543 Park PL Ste 600
Green Bay, WI 54304-1967

Phone

(920) 570-9118

NPI assigned

Aug 23, 2024

Last updated

Aug 30, 2024By 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

Bella Zaritsky

Title

Director

Phone

(480) 590-3396

Specialties & licenses 1

Addresses

Other names 1

• Fay Dental Care Doing business as

Locations

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1306679469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 PARK PL STE 600",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041967",
            "telephone_number": "920-570-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 PARK PL STE 600",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041967",
            "telephone_number": "920-570-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAY DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "ZARITSKY",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-590-3396"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fay Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fay Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Anne Farrell, DDS
• Taresa B Fassbender, PA
• Jeanie Faught, RN, NP, PTA
• Tracy Jenifer Faust, M.A., LPC, SAC, NCC
• Kayla Joanne Fausti, LPC, SAC
• John Michael Fay II, DDS
• Bradley Jay Fedderly, MD
• Stephen Michael Feest, LCSW
• Lisa Fehrenbach
• Henry K Feider, MD

• 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 Aug 30, 2024; 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.