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Dr. Mary A Grote, DDS
Oral and Maxillofacial Surgery (Dentist) in Beaver Dam, Wisconsin
NPI 1629171962

Mary A Grote is a Oral and Maxillofacial Surgery (Dentist) based in Beaver Dam, WI and is specialized in Oral and Maxillofacial Surgery. Mary A Grote practices in Beaver Dam, WI and has the professional credentials of DDS. The NPI Number for Mary A Grote is 1629171962 and holds a License No. 2582-015 (Wisconsin).

The current practice location address for Mary A Grote is 301 S Roosevelt Dr, Beaver Dam, WI and can be reached out via phone at 920-887-8423 and via fax at 920-887-8471.

Location: 301 S Roosevelt Dr, Beaver Dam, WI, 53916-2442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629171962
Provider Name
Mary A Grote
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
301 S Roosevelt Dr, Beaver Dam, WI, 53916-2442
Phone Number
920-887-8423
Fax Number
920-887-8471
Provider Enumeration Date
09/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
301 S Roosevelt Dr
City
Beaver Dam
State
Wisconsin
Zip
53916-2439
Phone Number
920-887-8423
Fax Number
920-887-8471
person
Provider Business Mailing Address Details
Address
301 S Roosevelt Dr
City
Beaver Dam
State
Wisconsin
Zip
53916-2439
Phone Number
920-887-8423
Fax Number
920-887-8471
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2582-015 (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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