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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OCONOMOWOC DENTAL ANESTHESIA CENTER

Active Organization

OCONOMOWOC DENTAL ANESTHESIA CENTER is a Oral and Maxillofacial Surgery Clinic organization located in OCONOMOWOC, Wisconsin. NPI 1053972661 is currently active in the NPPES registry. Verify at CMS.

Oral and Maxillofacial Surgery Clinic · OCONOMOWOC, WI

Registration Details

NPI Number
1053972661
Provider Type
Organization
NPI Issued
Jun 25, 2019 (6.9546239808233 yrs)
Last Updated
Jun 25, 2019

Practice Information

Address
888 THACKERAY TRL STE 214
OCONOMOWOC, WI, 530664342
Browse WI providers · Browse ZIP 53066
Phone
2625679116
Primary Specialty
Oral and Maxillofacial Surgery Clinic
261QS0112X
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.