Individual
DR. GEORGE H SMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2733 MANITOWOC RD, SUITE 2, GREEN BAY, WI 54311-4901
(920) 288-0200
Mailing address
8281 WAHL LANE, OCONTO FALLS, WI 54154
(920) 848-5551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001193
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33604100
—
WI
Enumeration date
10/13/2006
Last updated
07/08/2007
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