Individual
NICHOLAS VAN ESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1640 MAIN ST STOP 1, GREEN BAY, WI 54302-2639
(920) 468-6371
Mailing address
1640 MAIN ST STOP 1, GREEN BAY, WI 54302-2639
(920) 731-7445
(920) 882-2946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100135815
WI
Other
Enumeration date
06/23/2016
Last updated
09/18/2018
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