OrganizationActive
Northeast Wisconsin Technical College
NPI 1972793818 · Dental Clinic/Center · Green Bay, WI
Provider details
- NPI number
- 1972793818
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Blumreich, Chief Financial Officer(920) 498-5701
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2740 W Mason St
Green Bay, WI 54303-4966
Phone: (920) 498-5543
Street-level locationGet directions
Mailing address
2740 W Mason St
Green Bay, WI 54303-4966
Registry dates
- Enumerated
- 2007-07-26
- Last updated
- 2007-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.