OrganizationActive
Orthodontic Specialists of Green Bay, Ltd
NPI 1376618207 · Orthodontics and Dentofacial Orthopedics Dentistry · De Pere, WI
Provider details
- NPI number
- 1376618207
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Edward Lin, Pres(920) 336-2299
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
1839 Scheuring Rd
De Pere, WI 54115-9401
Phone: (920) 336-2299
Street-level locationGet directions
Mailing address
1839 Scheuring Road
De Pere, WI 54115
Registry dates
- Enumerated
- 2006-11-24
- Last updated
- 2011-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.