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ORAL & MAXILLOFACIAL SURGERY CONSULTANTS OF WISCONSIN S.C. NPI 1285649921


NPI Information

NPI: 1285649921
Provider Name: ORAL & MAXILLOFACIAL SURGERY CONSULTANTS OF WISCONSIN, S.C.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
4811 S 76TH ST
SUITE 304
GREENFIELD, WI
ZIP 53220
Phone: (414) 281-3344
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ORAL & MAXILLOFACIAL SURGERY CONSULTANTS OF WISCONSIN, S.C. is an oral and maxillofacial surgery dentist in Greenfield, WI. The provider is an oral and maxillofacial surgery dentist specialized in 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. ORAL & MAXILLOFACIAL SURGERY CONSULTANTS OF WISCONSIN, S.C. NPI is 1285649921. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4811 S 76TH ST
SUITE 304
GREENFIELD, WI
ZIP 53220-364
Phone: (414) 281-3344
Fax: (414) 281-1080

The provider's authorized official is Ronald Henry Nellen .
The authorized official title is President and has the following contact phone number (414) 281-3344.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery2699WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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