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Active NPI 1427896646 Individual Practitioner Male Practitioner

Dr. Deep Manoj Thakker , DDS

Dentist - General Practice • Green Bay, WI

Professional Overview & Biography Verified Profile Summary

Dr. Deep Thakker, DDS is a registered healthcare professional specializing in Dentist - General Practice in Green Bay, WI. Practice services are available at 1931 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1931 Main St

Green Bay, WI 543023920

Telephone 9204992770
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Green Bay, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
111 Specialists

Practicing in Green Bay, WI (2459 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 600162615

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1093260366
Dr. Muhaned Elhindi , DMD

Dentist - General Practice

NPI 1265167134

Doctor of Dental Medicine

Dr. Jungik Hong , DMD

Dentist - General Practice

NPI 1841800547

Doctor of Dental Medicine

NPI 1912717877

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 20, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2024

Registered at 1931 MAIN ST, GREEN BAY, WI 543023920 (Tel: 9204992770)

📍
Updated Business Mailing Address July 20, 2024

Registered at 1931 MAIN ST, GREEN BAY, WI 543023920 (Tel: 9204992770)

👤
Provider Name / Credentials Updated July 20, 2024

Recorded as DEEP THAKKER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2024

Dentist (License #600162615 in WI)

🟢
Initial NPI Registration & Enumeration July 20, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427896646
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2024
Last Update: July 20, 2024
Sole Proprietor: No

Mailing Address

1931 Main St

Green Bay, WI 543023920

Phone: 9204992770

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.