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Patrick J Lorge, DDS
Oral and Maxillofacial Surgery (Dentist) in Madison, Wisconsin
NPI 1568499101

Patrick J Lorge is a Oral and Maxillofacial Surgery (Dentist) based in Verona, WI and is specialized in Oral and Maxillofacial Surgery. Patrick J Lorge practices in Madison, WI and has the professional credentials of DDS. The NPI Number for Patrick J Lorge is 1568499101 and holds a License No. 4597 (Wisconsin).

The current practice location address for Patrick J Lorge is 5801 Research Park Blvd, Madison, WI and can be reached out via phone at 608-274-0770 and via fax at 608-274-9224.

Location: 5801 Research Park Blvd, Madison, WI, 53593-8665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568499101
Provider Name
Patrick J Lorge
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5801 Research Park Blvd, Madison, WI, 53593-8665
Phone Number
608-274-0770
Fax Number
608-274-9224
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10771 01 WI DEAN HEALTH PLAN PROV#
33720300 05 WI
institution
Provider Business Practice Location Address Details
Address
5801 Research Park Blvd
City
Madison
State
Wisconsin
Zip
53719-6002
Phone Number
608-274-0770
Fax Number
608-274-9224
person
Provider Business Mailing Address Details
Address
5801 Research Park Blvd
City
Madison
State
Wisconsin
Zip
53719-6002
Phone Number
608-274-0770
Fax Number
608-274-9224
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
4597 (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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