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

Dr. Jack L Brickner, DDS

Individual provider General Practice Dentistry · NPI 1215086566

Dr. Jack L Brickner, DDS is a General Practice Dentistry in Appleton, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

5553 Waterford Ln
Appleton, WI 54913-8468
Phone: (920) 739-7165
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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 5001371G (WI)

Record details

NPI number1215086566
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJanuary 15, 2009
Mailing address4540 Algonquin Trl, Green Bay, WI 54313-9527

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