Provider Demographics
NPI:1598878944
Name:LAPP, NOEL BERNARD (DDS/MS)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:BERNARD
Last Name:LAPP
Suffix:
Gender:M
Credentials:DDS/MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5957 TIMBER HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE SUAMICO
Mailing Address - State:WI
Mailing Address - Zip Code:54141-8660
Mailing Address - Country:US
Mailing Address - Phone:920-826-6083
Mailing Address - Fax:
Practice Address - Street 1:430 MAIN ST
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301-5115
Practice Address - Country:US
Practice Address - Phone:920-431-1728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI970081223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics