OrganizationActive
Children'S Dental Clinic of Green Bay, S.c.
NPI 1205905619 · Pediatric Dentistry · De Pere, WI
Children'S Dental Clinic of Green Bay, S.c. is a Pediatric Dentistry organization in De Pere, WI (NPI 1205905619).
Provider details
- NPI number
- 1205905619
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Margaret Miller, Pediatric Dentist(920) 336-4002
- License
- 4176 (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
534 Redbird Cir
De Pere, WI 54115-8785
Phone: (920) 336-4002
Fax: (920) 336-4112
Street-level locationGet directions
Mailing address
534 Redbird Cir
De Pere, WI 54115-8785
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2011-01-07
Frequently asked questions
- What is Children'S Dental Clinic of Green Bay, S.c.'s NPI number?
- Children'S Dental Clinic of Green Bay, S.c.'s National Provider Identifier (NPI) is 1205905619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Children'S Dental Clinic of Green Bay, S.c.?
- Children'S Dental Clinic of Green Bay, S.c. is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Children'S Dental Clinic of Green Bay, S.c. located?
- Children'S Dental Clinic of Green Bay, S.c.'s practice location on file with NPPES is 534 Redbird Cir, De Pere, WI 54115-8785.
- What is Children'S Dental Clinic of Green Bay, S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Children'S Dental Clinic of Green Bay, S.c. is (920) 336-4002.
- Who is the authorized official for Children'S Dental Clinic of Green Bay, S.c.?
- The authorized official listed on Children'S Dental Clinic of Green Bay, S.c.'s NPPES record is Margaret Miller, Pediatric Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Children'S Dental Clinic of Green Bay, S.c.'s NPI active?
- Yes — Children'S Dental Clinic of Green Bay, S.c.'s NPI (1205905619) is active in the NPPES registry as of the last update on 2011-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.