Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. in Brookfield - Oral And Maxillofacial Surgery
Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. - NPI 1366586224
Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. is a Oral And Maxillofacial Surgery in Brookfield, Wisconsin. Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. is 1366586224. The last update date is 2020-08-22.
Elmbrook Oral & Maxillofacial Surgery Assoc., S.C.'s current location address is 12720 W North Ave, Brookfield, Wisconsin. You can contact this provider via phone number 2627840053 and fax number 2627840757. The mailing address for Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. is 12720 W North Ave, Brookfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. |
|---|---|
| Address | 12720 W North Ave, Brookfield, Wisconsin |
| Phone Number | 2627840053 |
| Fax Number | 2627840757 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wallock A. Robert |
| Credentials | D.D.S. |
| Telephone Number | 2627840053 |
NPI Number Detail
| NPI Number | 1366586224 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 12720 W North Ave |
|---|---|
| City | Brookfield |
| State | Wisconsin (WI) |
| Post Code | 530054637 |
| Phone Number | 2627840053 |
| Fax Number | 2627840757 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 4138-015 |
|
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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Post Comment/ Review Below
What is the unique identification code assigned to Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. by the Centers for Medicare & Medicaid Services?
The Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. has been issued the NPI (National Provider Identifier) 1366586224. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. is located?
The Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. is situated at the following address: 12720 W North Ave, Brookfield, WI, 530054637.
What is Elmbrook Oral & Maxillofacial Surgery Assoc., S.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1366586224 to Elmbrook Oral & Maxillofacial Surgery Assoc., S.C.?
The Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. received its 1366586224 assignment from the Centers for Medicare & Medicaid Services on 2007-02-16.
When was the information pertaining to Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. most recently updated or revised?
The details related to Elmbrook Oral & Maxillofacial Surgery Assoc., S.C., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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