Individual provider · Type 1 NPI

Clark Regan Sweeney, DDS

Oral and Maxillofacial Surgery (Dentist) · Milwaukee, WI

NPI number 1720202203 Active

Practice location

1801 W Wisconsin Ave
Milwaukee, WI 53233-2186

Fax (414) 288-8361

Mailing address

PO Box 1881
Milwaukee, WI 53201-1881

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X5001864 (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 1720202203

Clark Regan Sweeney, DDS's National Provider Identifier is 1720202203, issued on Apr 13, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2007.