Mark Robert Vande Walle, DDS - Dentist in Green Bay, WI

Mark Robert Vande Walle, DDS is a Dentist based in Green Bay, Wisconsin. Mark Robert Vande Walle is licensed to practice in Wisconsin (license number 003209) and his current practice location is 1711 Shawano Ave, Green Bay, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 494-9541.

NPI number for Mark Robert Vande Walle is 1083749774 and his current mailing address is 1711 Shawano Ave, Green Bay, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083749774.

Contact Information

Mark Robert Vande Walle, DDS
1711 Shawano Ave,
Green Bay, WI 54303
(920) 494-9541
Not Available



Healthcare Provider's Profile

Full NameMark Robert Vande Walle
GenderMale
SpecialityDentist
Location1711 Shawano Ave, Green Bay, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083749774
  • Provider Enumeration Date: 02/22/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mark Robert Vande Walle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083749774NPI-NPPES
33456900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 003209 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Robert Vande Walle is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Robert Vande Walle, DDS
1711 Shawano Ave,
Green Bay, WI 54303

Ph: (920) 494-9541
Mark Robert Vande Walle, DDS
1711 Shawano Ave,
Green Bay, WI 54303

Ph: (920) 494-9541

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› Verified 2 days ago


Dentist in Green Bay, WI

Dr. Bradley S Koch, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2353 S Ridge Rd, Green Bay, WI 54304
Phone: 920-499-0471    Fax: 920-499-8312
Dr. William Arthur Brennan, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 430 Main St, Green Bay, WI 54301
Phone: 920-431-1745    Fax: 920-431-1715
Lee S Bialkowski, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2821 S Webster Ave, Green Bay, WI 54301
Phone: 920-336-2299    
Dr. Thomas Kissner,
Dentist
Medicare: Medicare Enrolled
Practice Location: 2476 S Oneida St, Green Bay, WI 54304
Phone: 920-965-0764    Fax: 920-965-0807
Rodney A. Messner, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 1052 Bel Aire Ct, Green Bay, WI 54304
Phone: 920-499-2121    Fax: 920-499-7644
Thuy Nguyen, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 331 N Broadway, Green Bay, WI 54303
Phone: 920-965-0831    
Miss Alyce Sharon Hockers,
Dentist
Medicare: Medicare Enrolled
Practice Location: 2121 S Webster Ave, Green Bay, WI 54301
Phone: 920-609-4829    

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