Organization
MEDICAL ARTS COMPLEX DENTAL CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY C. NOBLE D.D.S. (VICE-PRESIDENT)
(920) 435-6894
Entity
Organization
Contact information
Practice address
704 S WEBSTER AVE, GREEN BAY, WI 54301-3528
(920) 435-6894
(920) 435-7676
Mailing address
704 S WEBSTER AVE, GREEN BAY, WI 54301-3528
(920) 435-6894
(920) 435-7676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4416
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33461900
—
WI
05
—
33571900
—
WI
05
—
33734500
—
WI
05
—
33738400
—
WI
05
—
33759300
—
WI
05
—
33777700
—
WI
Enumeration date
10/23/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us