Michael J Pierquet DDS SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3537-015 Issued in WI

Legal business name

MICHAEL J PIERQUET DDS SC

Practice address

2140 Velp Ave
Green Bay, WI 54303-6492

Phone

(920) 434-4165

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Pierquet, DDS

Title

President

Phone

(920) 434-4165

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649493529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 VELP AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543036492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 VELP AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543036492",
            "telephone_number": "920-434-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J PIERQUET DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIERQUET",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-434-4165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3537-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MH Health Care Services, PC
• Imran Hamayun Mian
• Shamoon Mian, PA-C
• Mary Miceli-Wink, CSAC
• Rick D Miceli-Wink, CSAC
• Michael J. Mervilde,MSW (d/b/a Green Bay Wellness & Behavioral Health Clinic)
• Michael J. Smullen, MD
• Megan Michaelchuck
• Anthony Peter Michalski
• Lawrence E Michalski, RPH

• 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 22, 2020; 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.