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Mr. Kim J Pansegrau, DDSMD
Oral and Maxillofacial Surgery (Dentist) in Madison, Wisconsin
NPI 1518990167

Kim J Pansegrau is a Oral and Maxillofacial Surgery (Dentist) based in Verona, WI and is specialized in Oral and Maxillofacial Surgery. Kim J Pansegrau practices in Madison, WI and has the professional credentials of DDSMD. The NPI Number for Kim J Pansegrau is 1518990167 and holds a License No. 5144015 (Wisconsin).

The current practice location address for Kim J Pansegrau is 7007 Old Sauk Rd, Madison, WI and can be reached out via phone at 608-833-2060 and via fax at 608-833-1737.

Location: 7007 Old Sauk Rd, Madison, WI, 53593-8010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518990167
Provider Name
Kim J Pansegrau
Credential
DDSMD
Provider Entity Type
Individual
Gender
Male
Address
7007 Old Sauk Rd, Madison, WI, 53593-8010
Phone Number
608-833-2060
Fax Number
608-833-1737
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33755700 05 WI
institution
Provider Business Practice Location Address Details
Address
7007 Old Sauk Rd
City
Madison
State
Wisconsin
Zip
53717-2307
Phone Number
608-833-2060
Fax Number
608-833-1737
person
Provider Business Mailing Address Details
Address
7007 Old Sauk Rd
City
Madison
State
Wisconsin
Zip
53717-2307
Phone Number
608-833-2060
Fax Number
608-833-1737
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
5144015 (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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