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ORAL & MAXILLOFACIAL SURGERY FOX CITIES S.C. NPI 1861525289


NPI Information

NPI: 1861525289
Provider Name: ORAL & MAXILLOFACIAL SURGERY FOX CITIES S.C.
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
5395 MICHAELS DR
APPLETON, WI
ZIP 54913
Phone: (920) 739-1214
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ORAL & MAXILLOFACIAL SURGERY FOX CITIES S.C. is an oral and maxillofacial surgery clinic center in Appleton, 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. ORAL & MAXILLOFACIAL SURGERY FOX CITIES S.C. NPI is 1861525289. The provider is registered as an organization entity type.

The provider's business location address is:

5395 MICHAELS DR
APPLETON, WI
ZIP 54913-447
Phone: (920) 739-1214
Fax: (920) 739-5855

The provider's authorized official is Ann K Dudley .
The authorized official title is Office Manager and has the following contact phone number (920) 739-1214.

The enumeration date for this NPI number is 3/14/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryWISCONSINYes

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: 11/14/2023

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