AREA OMS NPI 1306615380

NPI Information

  • NPI: 1306615380
  • Provider Name: AREA OMS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 301 S ROOSEVELT DR
    BEAVER DAM, WI
    ZIP 53916
  • Phone: (920) 365-9711

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NPI Details

AREA OMS is an oral and maxillofacial surgery dentist in Beaver Dam, 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. AREA OMS NPI is 1306615380. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 S ROOSEVELT DR
BEAVER DAM, WI
ZIP 53916-439
Phone: (920) 365-9711

The provider's authorized official is Jarrod Thomas .
The authorized official title is President and has the following contact phone number (920) 261-0495.

The enumeration date for this NPI number is 1/1/2024 and was last updated on 1/1/2024.

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 SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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