OrganizationActive
Baycare Clinic LLP
NPI 1134490758 · Oral and Maxillofacial Surgery (Dentist) · Manitowoc, WI
Provider details
- NPI number
- 1134490758
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Authorized official
- Chris Augustian, Chief Executive Officer
Practice location
930 Maritime Dr
Manitowoc, WI 54220-2961
Phone: (920) 682-9121
Fax: (920) 682-7188
Mailing address
Po Box 28900
Green Bay, WI 54324-0900
Registry dates
- Enumerated
- 2012-01-13
- Last updated
- 2022-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.