Kirk Fishbaugh Dentistry, Ltd.

NPI #1134340938 in Green Bay, Wisconsin

Provider Information

NPI Number: 1134340938
Entity Type: Organization
Organization Name: Kirk Fishbaugh Dentistry, Ltd.
Primary Specialty: Dentist - General Practice
Enumeration Date: May 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2625 TULIP LN
City: Green Bay
State: Wisconsin
ZIP Code: 54313-6855
Phone: (920) 434-1515

Authorized Official

Name: DR. KIRK RICHARD FISHBAUGH, D.D.S.
Title: PRESIDENT
Phone: (920) 434-1515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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