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

Familia Dental West Green Bay

Organization Dental Clinic/Center · NPI 1588197149

Familia Dental West Green Bay is a Dental Clinic/Center in Green Bay, Wisconsin. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

2280 W Mason St
Green Bay, WI 54303-4707
Phone: (888) 988-4066
Fax: (847) 496-4850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1588197149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Taylor — Credentialing & Payer Relations Mgr · (847) 453-7396
NPI enumeratedApril 10, 2017
Last updated in NPPESOctober 15, 2021
Certification dateOctober 15, 2021
Mailing address2050 E Algonquin Rd Ste 610, Schaumburg, IL 60173-4166

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