IndividualActive
Adam Koch, DDS
NPI 1710415542 · General Practice Dentistry · Green Bay, WI
Provider details
- NPI number
- 1710415542
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 1001522-15 (WI)
Specialties & taxonomies
Dental Providers
Practice location
315 S Monroe Ave
Green Bay, WI 54301-4013
Phone: (920) 437-3376
Approximate (ZIP-level) locationGet directions
Mailing address
315 S Monroe Ave
Green Bay, WI 54301-4013
Registry dates
- Enumerated
- 2017-05-24
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.