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

Northeast Wisconsin Technical College

Organization Dental Clinic/Center · NPI 1972793818

Northeast Wisconsin Technical College is a Dental Clinic/Center in Green Bay, Wisconsin. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2740 W Mason St
Green Bay, WI 54303-4966
Phone: (920) 498-5543
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 number1972793818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Blumreich — Chief Financial Officer · (920) 498-5701
NPI enumeratedJuly 26, 2007
Last updated in NPPESJuly 26, 2007
Mailing address2740 W Mason St, P.O.Box 19042, Green Bay, WI 54303-4966

Other providers in Green Bay