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Contact Information

GREGORY A NYFFELER, DDS
2481 EXECUTIVE DR
EAST TROY, WI53120
 Phone: 262-642-5695
 Fax: 262-642-5395
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for GREGORY A NYFFELER · (Male)

NPI # 1063554350
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/13/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 3697
  • WI Medicaid 33489700
  • Other 391449280018 BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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