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Dr. Timothy Stephen Novak, DDS
Oral and Maxillofacial Surgery (Dentist) in Waukesha, Wisconsin
NPI 1194832824

Timothy Stephen Novak is a Oral and Maxillofacial Surgery (Dentist) based in Waukesha, WI and is specialized in Oral and Maxillofacial Surgery. Timothy Stephen Novak practices in Waukesha, WI and has the professional credentials of DDS. The NPI Number for Timothy Stephen Novak is 1194832824 and holds a License No. 4362 (Wisconsin).

The current practice location address for Timothy Stephen Novak is 1111 Delafield St, Waukesha, WI and can be reached out via phone at 262-547-8665 and via fax at 262-547-4328.

Location: 1111 Delafield St, Waukesha, WI, 53188-3417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194832824
Provider Name
Timothy Stephen Novak
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1111 Delafield St, Waukesha, WI, 53188-3417
Phone Number
262-547-8665
Fax Number
262-547-4328
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10571 01 WI DEANCARE HMO
33709900 05 WI
2011072002 01 WI CIGNA MEDICAL
759310 01 WI UNITED CONCORDIA DENTAL
1008606 01 WI PHYSICIANS PLUS
institution
Provider Business Practice Location Address Details
Address
1111 Delafield St
City
Waukesha
State
Wisconsin
Zip
53188-3417
Phone Number
262-547-8665
Fax Number
262-547-4328
person
Provider Business Mailing Address Details
Address
1111 Delafield St
City
Waukesha
State
Wisconsin
Zip
53188-3417
Phone Number
262-547-8665
Fax Number
262-547-4328
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
4362 (Wisconsin)
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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