Organization · Type 2 NPI

Wisconsin Oral Medicine LLC

Oral and Maxillofacial Surgery (Dentist) · Greenfield, WI

NPI number 1417740465 Active

Practice location

8405 W Forest Home Ave
Greenfield, WI 53228-3407

Mailing address

6400 Industrial Loop
Greendale, WI 53129-2452

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 1417740465

Wisconsin Oral Medicine LLC's National Provider Identifier is 1417740465, issued on May 23, 2025. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Greenfield, WI. The record was last updated on May 23, 2025.