Puja J Bhakta
Oral & Maxillofacial Surgeon
2581 Development Dr
Green Bay
, Wisconsin 54311
Puja J Bhakta
Oral & Maxillofacial Surgeon
2581 Development Dr
Green Bay
, Wisconsin 54311
(920) 490-9046
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Puja J Bhakta
- Po Box 28900
- Green Bay, WI
- Zip : 54324-0900
- Phone : (920) 490-9046
Second Address
- Puja J Bhakta
- 2581 Development Dr
- Green Bay, WI
- Zip : 54311
- Phone : (920) 347-0400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 1001499 | WI |
National Provider Identifier
| NPI | 1184016933 |
|---|---|
| Provider Name | Puja J Bhakta |
| First Address | Green Bay, WI 54324-0900 |
| Second Address | Green Bay, WI 54311 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2015 |
| Last Update Date | 08/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.