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Mark Robert Vande Walle, DDS
Dentist in Green Bay, Wisconsin
NPI 1083749774

Mark Robert Vande Walle is a Dentist based in Green Bay, WI. Mark Robert Vande Walle practices in Green Bay, WI and has the professional credentials of DDS. The NPI Number for Mark Robert Vande Walle is 1083749774 and holds a License No. 003209 (Wisconsin).

The current practice location address for Mark Robert Vande Walle is 1711 Shawano Ave, Green Bay, WI and can be reached out via phone at 920-494-9541.

Location: 1711 Shawano Ave, Green Bay, WI, 54303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083749774
Provider Name
Mark Robert Vande Walle
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1711 Shawano Ave, Green Bay, WI, 54303
Phone Number
920-494-9541
Fax Number
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33456900 05 WI
institution
Provider Business Practice Location Address Details
Address
1711 Shawano Ave
City
Green Bay
State
Wisconsin
Zip
54303
Phone Number
920-494-9541
Fax Number
person
Provider Business Mailing Address Details
Address
1711 Shawano Ave
City
Green Bay
State
Wisconsin
Zip
54303
Phone Number
920-494-9541
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
003209 (Wisconsin)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
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