location
search-icon
person
Krista S Primley
Oral and Maxillofacial Surgery (Dentist) in Green Bay, Wisconsin
NPI 1073013025

Krista S Primley is a Oral and Maxillofacial Surgery (Dentist) based in Green Bay, WI and is specialized in Oral and Maxillofacial Surgery. Krista S Primley practices in Green Bay, WI. The NPI Number for Krista S Primley is 1073013025 and holds a License No. D14292 (Wisconsin).

The current practice location address for Krista S Primley is 2581 Development Dr, Green Bay, WI and can be reached out via phone at 920-347-0400 and via fax at 920-347-0868.

Location: 2581 Development Dr, Green Bay, WI, 54311-8320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073013025
Provider Name
Krista S Primley
Credential
Provider Entity Type
Individual
Gender
Female
Address
2581 Development Dr, Green Bay, WI, 54311-8320
Phone Number
920-347-0400
Fax Number
920-347-0868
Provider Enumeration Date
02/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2581 Development Dr
City
Green Bay
State
Wisconsin
Zip
54311-4247
Phone Number
920-347-0400
Fax Number
920-347-0868
person
Provider Business Mailing Address Details
Address
2581 Development Dr
City
Green Bay
State
Wisconsin
Zip
54311-4247
Phone Number
920-347-0400
Fax Number
920-347-0868
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
RES-30533 (Iowa)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
D14292 (Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.