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George Smullen, DDS
NPI 1104916576 · General Practice Dentistry · Green Bay, WI
George Smullen, DDS is a General Practice Dentistry provider in Green Bay, WI (NPI 1104916576).
Provider details
- NPI number
- 1104916576
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5001193 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 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
2733 Manitowoc Rd
Suite 2
Green Bay, WI 54311-4901
Phone: (920) 288-0200
Street-level locationGet directions
Mailing address
8281 Wahl Lane
Oconto Falls, WI 54154
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2007-07-08
Frequently asked questions
- What is George Smullen's NPI number?
- George Smullen's National Provider Identifier (NPI) is 1104916576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is George Smullen's specialty?
- George Smullen is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is George Smullen located?
- George Smullen's practice location on file with NPPES is 2733 Manitowoc Rd, Green Bay, WI 54311-4901.
- What is George Smullen's phone number?
- The practice phone number listed in the NPPES registry for George Smullen is (920) 288-0200.
- Is George Smullen's NPI active?
- Yes — George Smullen's NPI (1104916576) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.