Adrian Peter Gansen III, DDS

General Practice Dentistry · Appleton, WI

Individual Active NPI

NPI number 1497069207

Practice location

4660 W College Ave
Appleton, WI 54913-8507
Phone
(920) 730-0345
Fax
(920) 954-0155

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NPI record

NPI
1497069207
Entity type
Individual (Type 1)
Enumeration date
August 4, 2010
Last updated
August 4, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3824-15 WI

About Dr. Gansen

Adrian Peter Gansen III, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4660 W College Ave, Appleton, WI 54913-8507. The NPI number 1497069207 was assigned on August 4, 2010 and the record was last updated on August 4, 2010.

Dr. Gansen lists a license in the registry: #3824-15 (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 Adrian Peter Gansen III, DDS?

The NPI number is 1497069207.

What is the phone number of Dr. Gansen?

The phone number listed for the practice location is (920) 730-0345.

Where is Dr. Gansen located?

4660 W College Ave, Appleton, WI 54913-8507.

What is the taxonomy code for Dr. Gansen?

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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