institution
Northern Oral & Maxillofacial Surgeons, Pa
Oral and Maxillofacial Surgery (Dentist) in Superior, Wisconsin
NPI 1013068691

Northern Oral & Maxillofacial Surgeons, Pa is a Oral and Maxillofacial Surgery (Dentist) based in Superior, WI and is specialized in Oral and Maxillofacial Surgery. Northern Oral & Maxillofacial Surgeons, Pa practices in Superior, WI. The NPI Number for Northern Oral & Maxillofacial Surgeons, Pa is 1013068691 and holds a License No. (Wisconsin).

The current practice location address for Northern Oral & Maxillofacial Surgeons, Pa is 503 Belknap St, Superior, WI and can be reached out via phone at 715-564-4081 and via fax at 715-564-4083.

Location: 503 Belknap St, Superior, WI, 54880-2932
institution
Provider Profile Details
NPI Number
1013068691
Provider Name
Northern Oral & Maxillofacial Surgeons, Pa
Credential
Provider Entity Type
Organization
Address
503 Belknap St, Superior, WI, 54880-2932
Phone Number
715-564-4081
Fax Number
715-564-4083
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38393500 05 WI
institution
Provider Business Practice Location Address Details
Address
503 Belknap St
City
State
Zip
54880-2932
Phone Number
715-564-4081
Fax Number
715-564-4083
person
Provider Business Mailing Address Details
Address
503 Belknap St
City
State
Zip
54880-2932
Phone Number
715-564-4081
Fax Number
715-564-4083
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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