Organization · Type 2 NPI
Area Oms
Oral and Maxillofacial Surgery (Dentist) · Beaver Dam, WI
NPI number
1306615380
Active
Practice location
301 S Roosevelt Dr
Beaver Dam, WI 53916-2439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None 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.
4 other providers at this address
- Beaver Dam Foot & Ankle Center, Inc.Foot & Ankle Surgery Podiatrist Beaver Dam, WI NPI 1023204286
- Dr. Mary GroteOral and Maxillofacial Surgery (Dentist) Beaver Dam, WI NPI 1740336114
- John A. Lindholm, OPMPrimary Podiatric Medicine Podiatrist Beaver Dam, WI NPI 1639240641
- Mary A. Grote, DDSOral and Maxillofacial Surgery (Dentist) Beaver Dam, WI NPI 1629171962
Other oral and maxillofacial surgery (dentist) providers in Beaver Dam
About NPI 1306615380
Area Oms's National Provider Identifier is 1306615380, issued on Jan 1, 2024. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Beaver Dam, WI. The record was last updated on Jan 1, 2024.