OrganizationActive
Baycare Clinic, LLP
NPI 1124516893 · Oral and Maxillofacial Surgery (Dentist) · Sturgeon Bay, WI
Provider details
- NPI number
- 1124516893
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Nicole Hettmann, Provider Credentialing Coordinator(920) 490-9046
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
636 N 12th Ave
Sturgeon Bay, WI 54235-1249
Phone: (920) 743-2001
Street-level locationGet directions
Mailing address
Po Box 28900
Green Bay, WI 54324-0900
Registry dates
- Enumerated
- 2018-04-27
- Last updated
- 2022-03-31
- Certified
- 2022-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.