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NPI 1497069207

IndividualActive

Adrian Gansen, DDS

NPI 1497069207 · General Practice Dentistry · Appleton, WI

Provider details

NPI number: 1497069207
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 3824-15 (WI)

Practice location

4660 W College Ave

Appleton, WI 54913-8507

Phone: (920) 730-0345

Fax: (920) 954-0155

More WI providers

Mailing address

4660 W College Ave

Appleton, WI 54913-8507

Registry dates

Enumerated: 2010-08-04
Last updated: 2010-08-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Adrian Gansen, DDS — NPI 1497069207, Appleton, WI | NPI Central