Organization · Type 2 NPI
Wisconsin Oral & Maxillofacial Surgery LLC
Oral and Maxillofacial Surgery Clinic/Center · Oak Creek, WI
Practice location
2603 W Rawson Ave Ste 123
Oak Creek, WI 53154-8422
Mailing address
124 Legend Way
Wales, WI 53183-9539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center | 261QD0000X | None listed |
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | None listed |
Oral and Maxillofacial Surgery Clinic/Center: 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
About NPI 1013409002
Wisconsin Oral & Maxillofacial Surgery LLC's National Provider Identifier is 1013409002, issued on Jun 5, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Oak Creek, WI. The record was last updated on Jun 5, 2018.