Organization · Type 2 NPI

Dr. Mary Grote

Oral and Maxillofacial Surgery (Dentist) · Beaver Dam, WI

NPI number 1740336114 Active

Practice location

301 S Roosevelt Dr, Suite A
Beaver Dam, WI 53916-2439

Fax (920) 887-8471

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2582-015 (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.

4 other providers at this address

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About NPI 1740336114

Dr. Mary Grote's National Provider Identifier is 1740336114, issued on Jan 26, 2007. 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 Aug 22, 2020.