Organization · Type 2 NPI

Northern Oral & Maxillofacial Surgeons, PA

Oral and Maxillofacial Surgery (Dentist) · Superior, WI

NPI number 1013068691 Active

Practice location

503 Belknap St
Superior, WI 54880-2932

Fax (715) 564-4083

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone 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.

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About NPI 1013068691

Northern Oral & Maxillofacial Surgeons, PA's National Provider Identifier is 1013068691, issued on Jan 12, 2007. 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 23, 2021.