Amenity Dental Care, S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4569-015 Issued in WI

Legal business name

AMENITY DENTAL CARE, S.C.

Practice address

2121 S Webster Ave
Suite 3
Green Bay, WI 54301-2290

Phone

(920) 437-8017

NPI assigned

Mar 15, 2007

Last updated

Jun 13, 2008By 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. David A Shavlik, D.D.SNPI 1588678882

Title

Dentist

Phone

(920) 437-8017

Specialties & licenses 1

Addresses

Practitioners 1

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.

• David A. Shavlik, D.D.S.

  • General Practice Dentistry
  • Green Bay, WI
  • NPI 1588678882
  NPD (past) Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1982738688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S WEBSTER AVE",
            "address_2": "SUITE 3",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012290",
            "telephone_number": "920-437-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S WEBSTER AVE",
            "address_2": "SUITE 3",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012290",
            "telephone_number": "920-437-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMENITY DENTAL CARE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "SHAVLIK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "920-437-8017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4569-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narayan H Amarnani, MD
• Courtney Amborn, DPT
• Lisa M Ambrosius, AUD CCCASLP
• Ali Ambroso, IMH8420
• Amedisys Wisconsin LLC (Amedisys Home Health)
• Joel Steven Ament, MD
• Kaitlyn M Ament, MSW, APSW
• America's Anesthesiologist, S.C.
• America's Best Contacts & Eyeglasses
• American Current Care P.a. (Concentra Urgent Care)

• 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 Jun 13, 2008; 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.