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

ORAL AND MAXILLOFACIAL SURGERY ASSO OF EAU CLAIRE SC

Active Organization

ORAL AND MAXILLOFACIAL SURGERY ASSO OF EAU CLAIRE SC is a Oral & Maxillofacial Surgery (Physician) organization located in ALTOONA, Wisconsin. NPI 1316954928 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · ALTOONA, WI

Registration Details

NPI Number
1316954928
Provider Type
Organization
NPI Issued
Aug 3, 2006 (20.056845875636 yrs)
Last Updated
Jul 26, 2018
Licenses
4680-015 (WI)
5112-015 (WI)
5563-015 (WI)
6222-15 (WI)

Practice Information

Address
788 OAKLEAF WAY
ALTOONA, WI, 54720
Browse WI providers · Browse ZIP 54720
Phone
7158348414
Fax
7158343557
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
Additional Specialty
Endodontics
Additional Specialty
Endodontics
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.