Dr. Chad Randall Seubert
Dentist (Oral and Maxillofacial Surgery)

Address: 2581 Development Dr, Green Bay, WI 54311-4247
Phone: 9203470400

Dr. Chad Randall Seubert (NPI# 1396001483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1396001483
Entity Type Individual
Full Name Dr. Chad Randall Seubert
Credential D.D.S
Gender Male
Practice Address 2581 Development Dr
Green Bay
WI 54311-4247
Practice Telephone 9203470400
Practice Fax Number 9203470868
Mailing Address 164 N Broadway
Green Bay
WI 54303-2728
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2012-04-03
Last Update Date 2016-07-18

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1223S0112X Dentist · Oral and Maxillofacial Surgery Dental Providers 1001261 WI
No 1223S0112X Dentist · Oral and Maxillofacial Surgery Dental Providers 362 OK

Physician Overview

NPI 1396001483
PAC ID by PECOS 6204125040
Professional Enrollment ID I20160517002119
Full Name Chad R Seubert
Organization Legal Name BAYCARE CLINIC LLP
Phone Number 9203470400
Gender M
Medical School MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY
Graduation Year 2012
Primary Specialty ORAL SURGERY
Group Practice PAC ID 4385554328
Number of Group Practice Members 158
Accepts Medicare Assignment Y
Report Quality Measures Y

Office Location

Street Address 2581 DEVELOPMENT DR
City GREEN BAY
State WI
Zip Code 54311-4247

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578583654 William J Nelson Dentist 2581 Development Dr, Green Bay, WI 54311-4247 2006-07-20
1619174877 Brandon E Newell Dentist 2581 Development Dr, Green Bay, WI 54311-4247 2007-06-29
1174732572 Baycare Clinic LLP Durable Medical Equipment & Medical Supplies 2581 Development Dr, Green Bay, WI 54311-4247 2007-05-22
1841419587 Nicolas Abujamra Dds Ms Ltd Dentist 2581 Development Dr, Suite 102, Green Bay, WI 54311-4247 2007-04-24
1710018882 Dr. Paula S. Crum, S.c. Dentist 2581 Development Dr, Suite 204, Green Bay, WI 54311-4247 2007-03-08
1790816874 Paula S. Crum Dentist 2581 Development Dr, Suite 204, Green Bay, WI 54311-4247 2007-03-08
1720123201 Nicolas Fawzi Abujamra Dentist 2581 Development Dr, Suite 102, Green Bay, WI 54311-4247 2007-02-21
1174545982 Steve A Zent Dentist 2581 Development Dr, Green Bay, WI 54311-4247 2006-07-24
1760403570 Michael J Schuh Dentist 2581 Development Dr, Green Bay, WI 54311-4247 2006-07-21
1124049820 Gregory W Welsh Dentist 2581 Development Dr, Green Bay, WI 54311-4247 2006-07-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578052866 Matthew Robert Wagner Dentist 2830 Curry Ln #1, Green Bay, WI 54311 2018-05-02
1861916769 Atlas Spinal Care Chiropractor 2069 Central Ct, Suite 11, Green Bay, WI 54311 2017-08-01
1851844161 Green Bay Family Dental LLC Dentist 2609 Development Dr., Green Bay, WI 54311 2016-08-03
1710382809 Betsy Hoida Pharmacist 2485 Greenbrier Rd., Green Bay, WI 54311 2014-10-31
1225447436 Quirt Family Dentistry, Sc Dentist 2014 Lime Kiln Rd, Suite 300, Bellevue, WI 54311 2014-08-13
1285047373 Daniel P Hertel Dermatology 2845 Greenbrier Rd Fl 4, Green Bay, WI 54311 2014-06-05
1164864922 Costco Wholesale Corporation Pharmacy 2355 Costco Way, Bellevue, WI 54311 2013-07-22
1750520193 Pain Centers of Wisconsin-green Bay, LLC Clinic/Center 2595 Development Dr, Ste 150, Green Bay, WI 54311 2009-02-09
1083812887 Eleazar M Kadile General Practice 1538 Bellevue Street, Green Bay, WI 54311 2007-07-03
1801008818 Thomas Jens Witek Dentist 2581 Development Drive, Suite 202, Green Bay, WI 54311 2007-05-03
Find all providers in zip 54311

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427270776 Bay Oral Surgery & Implant Center, Ltd Dentist 2353 S Ridge Road, Green Bay, WI 54304 2007-05-03
1588688105 Michael M Miskella Dentist 2353 S Ridge Rd, Green Bay, WI 54304-5069 2006-07-27
1578583654 William J Nelson Dentist 2581 Development Dr, Green Bay, WI 54311-4247 2006-07-20
1922019405 Timothy J Flanigan Dentist 430 Main St, Green Bay, WI 54301-5115 2006-08-10
1447264502 David L Lemoine Dentist 2353 S Ridge Rd, Green Bay, WI 54304-5069 2006-07-27
1447274071 Vijay S Parmar Dentist 2353 S Ridge Rd, Green Bay, WI 54304-5069 2006-07-27
1013921196 Bradley S Koch Dentist 2353 S Ridge Rd, Green Bay, WI 54304-5069 2006-07-27
1356355424 Jason L Lemoine Dentist 2353 S Ridge Rd, Green Bay, WI 54304-5069 2006-07-27
1174545982 Steve A Zent Dentist 2581 Development Dr, Green Bay, WI 54311-4247 2006-07-24
1760403570 Michael J Schuh Dentist 2581 Development Dr, Green Bay, WI 54311-4247 2006-07-21
Find all providers in GREEN BAY

Competitor

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City GREEN BAY
Zip Code 54311

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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