Individual provider · Type 1 NPI

Kevin James Connor, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Waukesha, WI

NPI number 1174733588 Active

Practice location

1111 Delafield Street, Suite 222
Waukesha, WI 53188-3403

Fax (262) 547-8685

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XS-406 (LA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X6201 54630 (WI)

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 1174733588

Kevin James Connor, DDS, MD's National Provider Identifier is 1174733588, issued on May 23, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Waukesha, WI. The record was last updated on Jul 19, 2010.