WISCONSIN ORAL SURGERY LLC NPI 1679132815

NPI Information

  • NPI: 1679132815
  • Provider Name: WISCONSIN ORAL SURGERY LLC
  • Classification: Dentist - 1223P0106X
  • Specialization: Oral and Maxillofacial Pathology
  • Entity Type: Organization
  • Address: 10401 W LINCOLN AVE STE 101
    WEST ALLIS, WI
    ZIP 53227
  • Phone: (414) 327-4130

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NPI Details

WISCONSIN ORAL SURGERY LLC is an oral and maxillofacial pathology dentist in West Allis, WI. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. WISCONSIN ORAL SURGERY LLC NPI is 1679132815. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10401 W LINCOLN AVE STE 101
WEST ALLIS, WI
ZIP 53227-255
Phone: (414) 327-4130

The provider's authorized official is Robert Trettin .
The authorized official title is President and has the following contact phone number (414) 357-2040.

The enumeration date for this NPI number is 6/11/2019 and was last updated on 6/11/2019.

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
11223P0700XDentistProsthodonticsNo
2122300000XDentistNo
31223P0106XDentistOral and Maxillofacial PathologyYes

What is NPI?

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

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