Wisconsin Oral Surgery LLC
Dentist, Oral and Maxillofacial Pathology in West Allis, Wisconsin
1679132815- Practice location
- 10401 W Lincoln Ave Ste 101, West Allis, WI 53227-1255
- Phone
- 414-327-4130
- Fax
- —
- Last updated
- June 11, 2019
Wisconsin Oral Surgery LLC is a healthcare organization based in West Allis, WI. Wisconsin Oral Surgery LLC practices in West Allis, WI. The NPI Number for Wisconsin Oral Surgery LLC is 1679132815. The current practice location address for Wisconsin Oral Surgery LLC is 10401 W Lincoln Ave Ste 101, West Allis, WI 53227-1255 and can be reached out via phone at 414-327-4130.
Provider Profile Details
- NPI Number
- 1679132815
- Provider Name
- Wisconsin Oral Surgery LLC
- Provider Entity Type
- Organization
- Address
- 10401 W Lincoln Ave Ste 101, West Allis, WI 53227-1255
- Phone Number
- 414-327-4130
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Pathology · 1223P0106X
- Organization Subpart
- Yes
- Parent Organization
- Advanced Dental Specialists, LLC
- Authorized Official
- Dr. Robert Trettin, DDS · President · 414-357-2040
- Provider Enumeration Date
- June 11, 2019
- Last Update Date
- June 11, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10401 W Lincoln Ave Ste 101
West Allis, WI 53227-1255 - City
- West Allis
- State
- Wisconsin
- Zip
- 53227-1255
- Phone Number
- 414-327-4130
Provider Business Mailing Address Details
- Address
- 401 Edgewater Pl Ste 430
Wakefield, MA 01880-6225 - City
- Wakefield
- State
- MA
- Zip
- 01880-6225
- Phone Number
- 781-213-0240
License Information
- Taxonomy (1)
- Dentist, Prosthodontics · 1223P0700X
- Taxonomy (2)
- Dentist · 122300000X
- Taxonomy (3)
- Dentist, Oral and Maxillofacial Pathology · 1223P0106X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Oral and Maxillofacial Pathology providers near West Allis, WI
View all Dentist, Oral and Maxillofacial Pathology providers in West Allis →Frequently Asked Questions
What is the NPI number of Wisconsin Oral Surgery LLC?
The NPI number of Wisconsin Oral Surgery LLC is 1679132815. It was assigned on June 11, 2019 and is currently active in the NPPES registry.
What is the specialty of Wisconsin Oral Surgery LLC?
Wisconsin Oral Surgery LLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Pathology (code 1223P0106X).
Where does Wisconsin Oral Surgery LLC practice?
The practice location is 10401 W Lincoln Ave Ste 101, West Allis, WI 53227-1255. The office can be reached at 414-327-4130 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679132815 directly on the NPPES registry website.