institution
Oral And Maxillofacial Surgical Associates
Oral and Maxillofacial Surgery (Dentist) in Superior, Wisconsin
NPI 1003900994

Oral And Maxillofacial Surgical Associates is a Oral and Maxillofacial Surgery (Dentist) based in Superior, WI and is specialized in Oral and Maxillofacial Surgery. Oral And Maxillofacial Surgical Associates practices in Superior, WI. The NPI Number for Oral And Maxillofacial Surgical Associates is 1003900994 and holds a License No. (Wisconsin).

The current practice location address for Oral And Maxillofacial Surgical Associates is 3712 Tower Ave, Superior, WI and can be reached out via phone at 715-392-9846 and via fax at 715-392-7040.

Location: 3712 Tower Ave, Superior, WI, 54880-5567
institution
Provider Profile Details
NPI Number
1003900994
Provider Name
Oral And Maxillofacial Surgical Associates
Credential
Provider Entity Type
Organization
Address
3712 Tower Ave, Superior, WI, 54880-5567
Phone Number
715-392-9846
Fax Number
715-392-7040
Provider Enumeration Date
10/03/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000078627 01 MEDICARE CLINIC
987507700 05 MN
institution
Provider Business Practice Location Address Details
Address
3712 Tower Ave
City
State
Zip
54880-5567
Phone Number
715-392-9846
Fax Number
715-392-7040
person
Provider Business Mailing Address Details
Address
3712 Tower Ave
City
State
Zip
54880-5567
Phone Number
715-392-9846
Fax Number
715-392-7040
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
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Definition
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.
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