SHEBOYGAN ORAL AND MAXILLOFACIAL ASSOC LTD NPI 1306894134

NPI Information

SHEBOYGAN ORAL AND MAXILLOFACIAL ASSOC LTD is an oral and maxillofacial surgery dentist in Sheboygan, 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. SHEBOYGAN ORAL AND MAXILLOFACIAL ASSOC LTD NPI is 1306894134. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

.3637 WILGUS AVENUE
SHEBOYGAN, WI
ZIP 53081
Phone: (920) 458-8213
Fax: (920) 459-9797

The provider's authorized official is John Jay Keller .
The authorized official title is President and has the following contact phone number (920) 458-8213.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 1/21/2009.

Taxonomy Codes

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