Organization · Type 2 NPI

Oral Facial and Periodontal Surgery LLC

Oral and Maxillofacial Surgery (Dentist) · Mount Pleasant, WI

NPI number 1144772906 Active

Practice location

13200 Globe Dr Ste 108
Mount Pleasant, WI 53177-1606

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 1144772906

Oral Facial and Periodontal Surgery LLC's National Provider Identifier is 1144772906, issued on Oct 27, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mount Pleasant, WI. The record was last updated on Jul 21, 2025.