MEDICARE: MS. KRISTINA MARIE BATH DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	7261-15	WI

General Provider Information

NPI Number	:	1093129165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KRISTINA MARIE BATH DMD

Provider Business Mailing Address
First Line	:	105 W SILVER SPRING DR
Second Line	:
City	:	WHITEFISH BAY
State	:	WI
Zip	:	53217-4708
Country	:	US
Telephone Number	:	414-964-0680
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 W SILVER SPRING DR
Second Line	:
City	:	WHITEFISH BAY
State	:	WI
Zip	:	53217-4708
Country	:	US
Telephone Number	:	414-964-0680
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2014
Last Update Date	:	06/17/2014

Similar Medicare Providers

1780748459 — WEST SIDE CHIROPRACTIC CLINIC SC
Practice Location Address:

2311 W MASON ST
GREEN BAY, WI
54303-4708

Practice Phone: 920-494-1613
Practice Fax:

1629282470 — QUALITY ADDICTION MANAGEMENT INC
Practice Location Address:

2357 W MASON ST
GREEN BAY, WI
54303-4708

Practice Phone: 920-337-6740
Practice Fax: 920-337-6741

1558643114 — SENIOR NETWORK OPTIONS INC
Practice Location Address:

862 W BAY DR
WEST ISLIP, NY
11795-4708

Practice Phone: 631-885-5464
Practice Fax:

1174869283 — DAVID WALTER KINGSFIELD CSAC CSIT
Practice Location Address:

2357 W MASON ST
GREEN BAY, WI
54303-4708

Practice Phone: 920-337-6740
Practice Fax: 920-337-6741

1669903266 — AMANDA PECHA LCSW, CSAC, CSIT
Practice Location Address:

2357 W MASON ST
GREEN BAY, WI
54303-4708

Practice Phone: 920-337-6740
Practice Fax:

1710484738 — SENIOR L BROWN SAC-IT
Practice Location Address:

2357 W MASON ST
GREEN BAY, WI
54303-4708

Practice Phone: 920-337-6740
Practice Fax: 920-337-6741

Directions to “ MS. KRISTINA MARIE BATH DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.