Individual provider · Type 1 NPI

Shane Connor, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Waukesha, WI

NPI number 1285877654 Active

Practice location

1111 Delafield St, Suite 222
Waukesha, WI 53188-3417

Call (262) 547-8665 Map

Fax (262) 547-8685

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X6802 (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 1285877654

Shane Connor, DDS, MD's National Provider Identifier is 1285877654, issued on Apr 14, 2009. 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 10, 2015.