Voyager Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VOYAGER FAMILY DENTAL LLC

Practice address

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

Phone

(920) 465-9887

NPI assigned

Oct 10, 2023

Last updated

Oct 10, 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

Dr. Mason P Wistenberg, DDSNPI 1780278283

Title

Dentist

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.

• Mason P Wistenberg

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

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1528849114",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOYAGER FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "WISTENBERG",
        "authorized_official_first_name": "MASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "920-465-9887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Vorpahl
• Voss Eyecare SC
• Jade Vosters, APNP
• Samantha Vouyiouklis, MD
• Voyager Drive Dental, SC
• Michelle L Waack, MAC, LPC, CSAC
• Jennifer M Wachowiak, PMHNP-BC
• Heather J. Wade Newell, MD
• William Joseph Wadzinski, MD
• Elizabeth Ann Waerzeggers, MPT

• 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 Oct 10, 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.