Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bay Park Smiles LLC

Organization General Practice Dentistry · NPI 1104543065

Bay Park Smiles LLC is a General Practice Dentistry in Green Bay, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1052 Bel Aire Ct
Green Bay, WI 54304-5015
Phone: (920) 499-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1104543065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aaron Bushong — Dentist/Owner · (715) 573-3546
NPI enumeratedOctober 21, 2022
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022
Mailing address1052 Bel Aire Ct, Green Bay, WI 54304-5015

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