New Oral & Facial Surgery, SC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

NEW ORAL & FACIAL SURGERY, SC

Practice address

3164 Finger Rd
Green Bay, WI 54311-7602

Phone

(920) 471-0022

Fax

(920) 471-0755

NPI assigned

Mar 7, 2024

Last updated

Jul 1, 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

Dr. Chad R Seubert, DDSNPI 1396001483

Title

Owner

Phone

(920) 660-6859

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Chad Randall Seubert, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Green Bay, WI
  • NPI 1396001483
  NPD Authorized official
• Puja J Bhakta, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Green Bay, WI
  • NPI 1184016933
  NPD (past)

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1609634351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 FINGER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543117602",
            "telephone_number": "920-471-0022",
            "fax_number": "920-471-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 FINGER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543117602",
            "telephone_number": "920-471-0022",
            "fax_number": "920-471-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ORAL & FACIAL SURGERY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "SEUBERT",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-660-6859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandon E Newell, DDS

• Oral and Maxillofacial Surgery (Dentist) in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.