Individual
DR. SCOTT ROBERT GREATENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
3886
WI
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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