Organization · Type 2 NPI
Oral and Maxillofacial Surgical Associates PA
Oral and Maxillofacial Surgery (Dentist) · Superior, WI
NPI number
1003900994
Active
Practice location
3712 Tower Ave, Suite E
Superior, WI 54880-5567
Fax (715) 392-7040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): 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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Superior
About NPI 1003900994
Oral and Maxillofacial Surgical Associates PA's National Provider Identifier is 1003900994, issued on Oct 3, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Superior, WI. The record was last updated on Feb 6, 2025.