Organization · Type 2 NPI
Oral Surgery Associates of Wisconsin, S.c.
Oral and Maxillofacial Surgery (Dentist) · Menasha, WI
NPI number
1700280963
Active
Practice location
1155 Wittmann Dr
Menasha, WI 54952-3607
Fax (920) 725-0160
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.
3 other providers at this address
About NPI 1700280963
Oral Surgery Associates of Wisconsin, S.c.'s National Provider Identifier is 1700280963, issued on Oct 17, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Menasha, WI. The record was last updated on Oct 17, 2014.