IndividualActive
Tariq Elmadawy
NPI 1164109336 · Dentist · Green Bay, WI
Tariq Elmadawy is a Dentist provider in Green Bay, WI (NPI 1164109336).
Provider details
- NPI number
- 1164109336
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6001237-15 (WI)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1551 Park Pl Ste 300
Green Bay, WI 54304-1969
Phone: (920) 332-6644
Street-level locationGet directions
Mailing address
2480 Marina Cir Unit 502
Ashwaubenon, WI 54304-4877
Registry dates
- Enumerated
- 2023-06-29
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Frequently asked questions
- What is Tariq Elmadawy's NPI number?
- Tariq Elmadawy's National Provider Identifier (NPI) is 1164109336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tariq Elmadawy's specialty?
- Tariq Elmadawy is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Tariq Elmadawy located?
- Tariq Elmadawy's practice location on file with NPPES is 1551 Park Pl Ste 300, Green Bay, WI 54304-1969.
- What is Tariq Elmadawy's phone number?
- The practice phone number listed in the NPPES registry for Tariq Elmadawy is (920) 332-6644.
- Is Tariq Elmadawy's NPI active?
- Yes — Tariq Elmadawy's NPI (1164109336) is active in the NPPES registry as of the last update on 2025-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.