OrganizationActive
Greenbayctd LLC
NPI 1023699576 · Dentist · Green Bay, WI
Greenbayctd LLC is a Dentist organization in Green Bay, WI (NPI 1023699576).
Provider details
- NPI number
- 1023699576
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mitch Weiland, Assistant Controller(608) 343-0818
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2280 Holmgren Way
Green Bay, WI 54304-4710
Phone: (920) 489-3491
Street-level locationGet directions
Mailing address
8025 Excelsior Dr
Madison, WI 53717-1900
Registry dates
- Enumerated
- 2021-04-16
- Last updated
- 2021-04-16
- Certified
- 2021-04-16
Frequently asked questions
- What is Greenbayctd LLC's NPI number?
- Greenbayctd LLC's National Provider Identifier (NPI) is 1023699576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Greenbayctd LLC?
- Greenbayctd LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Greenbayctd LLC located?
- Greenbayctd LLC's practice location on file with NPPES is 2280 Holmgren Way, Green Bay, WI 54304-4710.
- What is Greenbayctd LLC's phone number?
- The practice phone number listed in the NPPES registry for Greenbayctd LLC is (920) 489-3491.
- Who is the authorized official for Greenbayctd LLC?
- The authorized official listed on Greenbayctd LLC's NPPES record is Mitch Weiland, Assistant Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Greenbayctd LLC's NPI active?
- Yes — Greenbayctd LLC's NPI (1023699576) is active in the NPPES registry as of the last update on 2021-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.