Individual provider · Type 1 NPI

Thomas T. Tabachnick, DDS

Oral and Maxillofacial Surgery (Dentist) · Appleton, WI

NPI number 1871666065 Active

Practice location

412 E Longview Dr, Suite C
Appleton, WI 54911-2168

Fax (920) 991-2517

Mailing address

533 W Old Sleigh Ln
Appleton, WI 54913-7174

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X5000840015 (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 1871666065

Thomas T. Tabachnick, DDS's National Provider Identifier is 1871666065, issued on Nov 16, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Appleton, WI. The record was last updated on Apr 23, 2011.