Pranav Bhide
Pranav Bhide is a General Practice Dentistry in Green Bay, Wisconsin. Licensed in Michigan and Wisconsin. Registered with an NPI since 2019.
- Licensed in
- MI, WI
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
430 Main StGreen Bay, WI 54301-5115
Phone: (201) 492-4864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthodontics (primary) | Taxonomy 1223P0700X · Licence 1002418-15 (WI) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 2901022830 (MI) |
Record details
| NPI number | 1780232827 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 2, 2019 |
| Last updated in NPPES | August 19, 2020 |
| Certification date | August 19, 2020 |
| Mailing address | 206 N Lafayette Ave Apt 4, Royal Oak, MI 48067-4817 |
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