What is Mark Vande Walle's NPI number?

Mark Vande Walle's National Provider Identifier (NPI) is 1083749774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Vande Walle's specialty?

Mark Vande Walle is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Mark Vande Walle located?

Mark Vande Walle's practice location on file with NPPES is 1711 Shawano Ave, Green Bay, WI 54303.

What is Mark Vande Walle's phone number?

The practice phone number listed in the NPPES registry for Mark Vande Walle is (920) 494-9541.

Is Mark Vande Walle's NPI active?

Yes — Mark Vande Walle's NPI (1083749774) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Mark Vande Walle, DDS

NPI 1083749774 · Dentist · Green Bay, WI

Mark Vande Walle, DDS is a Dentist provider in Green Bay, WI (NPI 1083749774).

Provider details

NPI number: 1083749774
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 003209 (WI)

Specialties & taxonomies

DentistPrimary122300000XLicense 003209 (WI)
Dental Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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

1711 Shawano Ave

Green Bay, WI 54303

Phone: (920) 494-9541

Street-level locationGet directions

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Mailing address