GREATER MILWAUKEE ORAL SURGERY L.L.C. NPI 1720569783

NPI Information

GREATER MILWAUKEE ORAL SURGERY, L.L.C. is an oral and maxillofacial surgery dentist in Greenfield, WI. The provider is 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. GREATER MILWAUKEE ORAL SURGERY, L.L.C. NPI is 1720569783. 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 STE 304
GREENFIELD, WI
ZIP 53220-350
Phone: (414) 281-3344
Fax: (414) 281-1080

The provider's authorized official is Rob Goeckermann .
The authorized official title is Owner and has the following contact phone number (414) 281-3344.

The enumeration date for this NPI number is 8/27/2018 and was last updated on 8/27/2018.

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:

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