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Elizabeth Marie Greene
General Practice Dentistry in Waupaca, Wisconsin
NPI 1366186868

Elizabeth Marie Greene is a General Practice Dentistry based in Waupaca, WI and is specialized in General Practice. Elizabeth Marie Greene practices in Waupaca, WI. The NPI Number for Elizabeth Marie Greene is 1366186868 and holds a License No. (Wisconsin).

The current practice location address for Elizabeth Marie Greene is N2846 Shadow Rd, Waupaca, WI and can be reached out via phone at 715-201-6739.

Location: N2846 Shadow Rd, Waupaca, WI, 54981-9497
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366186868
Provider Name
Elizabeth Marie Greene
Credential
Provider Entity Type
Individual
Gender
Female
Address
N2846 Shadow Rd, Waupaca, WI, 54981-9497
Phone Number
715-201-6739
Fax Number
Provider Enumeration Date
04/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
N2846 Shadow Rd
City
Waupaca
State
Wisconsin
Zip
54981-9497
Phone Number
715-201-6739
Fax Number
person
Provider Business Mailing Address Details
Address
N2846 Shadow Rd
City
Waupaca
State
Wisconsin
Zip
54981-9497
Phone Number
715-201-6739
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6001115 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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.
()
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.
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