Parc Village Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PARC VILLAGE DENTAL, LLC

Practice address

2805 Libal Street, Suite a
Green Bay, WI 54301

Phone

(920) 336-6062

Fax

(920) 336-9272

NPI assigned

Mar 7, 2019

Organization subpart

Yes

Parent organization

PARC VILLAGE DENTAL, LLCAs reported in NPPES

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

Authorized official

Name

Steven R Hein, DDSNPI 1942373550

Title

Member

Phone

(920) 336-6062

Specialties & licenses 1

Addresses

Part of

Parc Village Dental LLC

Locations

Practitioners 2

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

• Steven R Hein, D.D.S.

  • Dentist
  • Green Bay, WI
  • NPI 1942373550
  NPD (past) Authorized official
• Matthew Anson Nelson, DDS

  • Dentist
  • Green Bay, WI
  • NPI 1801057492
  NPD (past)

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1386102465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 LIBAL STREET, SUITE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54301",
            "telephone_number": "920-336-6062",
            "fax_number": "920-336-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 LIBAL STREET, SUITE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54301",
            "telephone_number": "920-336-6062",
            "fax_number": "920-336-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARC VILLAGE DENTAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARC VILLAGE DENTAL, LLC",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "HEIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "920-336-6062",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Pantzlaff, H.I.S.
• Julie A. Pantzlaff, H.I.S.
• Sharon A Paprocki, L.P.C.
• Paramount Home Care Services, LLC
• Paramount Home Care, LLC
• Pamela J Pardini, MD
• Yogesh C Pareek, M.D.
• Lisa M Parish, OTR
• Park Place Dental Care
• Sarah Sun Yee Park, DMD

• 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 Mar 7, 2019; 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.