OrganizationActive
Engage Orthodontics-Hanson Sc
NPI 1366026676 · Orthodontics and Dentofacial Orthopedics Dentistry · Green Bay, WI
Provider details
- NPI number
- 1366026676
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mark Hanson, Doctor/Owner(920) 884-2808
Specialties & taxonomies
Dental Providers
Practice location
1756 Cardinal Ln
Green Bay, WI 54313-7121
Phone: (920) 884-2808
Fax: (920) 884-2966
Approximate (ZIP-level) locationGet directions
Mailing address
1756 Cardinal Ln
Green Bay, WI 54313-7121
Additional practice locations (2)
- 2000 Shady LnGreen Bay, WI 54313-9311Phone: (920) 499-3721Fax: (920) 499-7502
- 2000 Shady LnGreen Bay, WI 54313-9311Phone: (920) 499-3721Fax: (920) 499-7502
Registry dates
- Enumerated
- 2021-05-12
- Last updated
- 2021-05-14
- Certified
- 2021-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.