Jack L. Brickner, DDS

General Practice Dentistry · Appleton, WI

Individual Active NPI

NPI number 1215086566

Practice location

5553 Waterford Ln
Appleton, WI 54913-8468
Phone
(920) 739-7165

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NPI record

NPI
1215086566
Entity type
Individual (Type 1)
Enumeration date
January 9, 2007
Last updated
January 15, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 5001371G WI

Mailing address

4540 Algonquin Trl
Green Bay, WI 54313-9527

About Dr. Brickner

Jack L. Brickner, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5553 Waterford Ln, Appleton, WI 54913-8468. The NPI number 1215086566 was assigned on January 9, 2007 and the record was last updated on January 15, 2009.

Dr. Brickner lists a license in the registry: #5001371G (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack L. Brickner, DDS?

The NPI number is 1215086566.

What is the phone number of Dr. Brickner?

The phone number listed for the practice location is (920) 739-7165.

Where is Dr. Brickner located?

5553 Waterford Ln, Appleton, WI 54913-8468.

What is the taxonomy code for Dr. Brickner?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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