Organization
OAK GROVE DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ROBERT GREATENS D.D.S. (MANAGING PARTNER)
(920) 468-6371
Entity
Organization
Contact information
Practice address
1640 MAIN ST, GREEN BAY, WI 54302-2639
(920) 468-6371
(920) 468-6365
Mailing address
1640 MAIN ST, GREEN BAY, WI 54302-2639
(920) 468-6371
(920) 468-6365
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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