BAYLAKES CENTER FOR COMPLEX DENTISTRY SC is a prosthodontics dentist in Green Bay, WI. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. BAYLAKES CENTER FOR COMPLEX DENTISTRY SC NPI is 1083705495. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
138 SIEGLER ST GREEN BAY, WI ZIP 54303 Phone: (920) 499-9958 Fax: (920) 499-1492
The provider's authorized official is Joseph William Lasnoski . The authorized official title is President Prosthodontist and has the following contact phone number (920) 499-9958.
The enumeration date for this NPI number is 9/28/2006 and was last updated on 4/22/2014.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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