Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ORAL SURGERY ASSOC LTD
Active OrganizationORAL SURGERY ASSOC LTD is a Oral & Maxillofacial Surgery (Physician) organization located in FOND DU LAC, Wisconsin. NPI 1013020866 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · FOND DU LAC, WI
Registration Details
- NPI Number
- 1013020866
- Provider Type
- Organization
- NPI Issued
- Aug 16, 2006 (20.021229122078 yrs)
- Last Updated
- Aug 22, 2020
- Licenses
-
5001856-015 (WI)5000111-015 (WI)
Practice Information
- Address
-
464 SOUTH HICKORY STREETSUITE AFOND DU LAC, WI, 54935Browse WI providers · Browse ZIP 54935
- Phone
- 9209230111
- Fax
- 9209230366
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.