Individual
DR. JACK ORZEPOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
996 S GREEN BAY RD, NEENAH, WI 54956-3627
(920) 725-0400
Mailing address
996 S GREEN BAY RD, NEENAH, WI 54956-3627
(920) 725-0400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002760-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2021
Last updated
06/29/2022
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