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

Dr. Brian M Thielen, DMD

Individual provider General Practice Dentistry · NPI 1104972033

Dr. Brian M Thielen, DMD is a General Practice Dentistry in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1543 Park Pl Ste 300
Green Bay, WI 54304-1970
Phone: (920) 405-3600
Fax: (920) 405-9057
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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 · Licence 4725 (WI)

Record details

NPI number1104972033
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJanuary 25, 2007
Last updated in NPPESJuly 8, 2007

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