Lake Geneva Oral And Maxillofacial Surgery, Ltd in Lake Geneva - Oral And Maxillofacial Surgery
Lake Geneva Oral And Maxillofacial Surgery, Ltd - NPI 1063420206
Lake Geneva Oral And Maxillofacial Surgery, Ltd is a Oral And Maxillofacial Surgery in Lake Geneva, Wisconsin. Lake Geneva Oral And Maxillofacial Surgery, Ltd practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Lake Geneva Oral And Maxillofacial Surgery, Ltd is 1063420206. The last update date is 2022-07-21.
Lake Geneva Oral And Maxillofacial Surgery, Ltd's current location address is 312 Center St, Lake Geneva, Wisconsin. You can contact this provider via phone number 2622488766 and fax number 2622486790. The mailing address for Lake Geneva Oral And Maxillofacial Surgery, Ltd is 312 Center St, Lake Geneva, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Geneva Oral And Maxillofacial Surgery, Ltd |
|---|---|
| Address | 312 Center St, Lake Geneva, Wisconsin |
| Phone Number | 2622488766 |
| Fax Number | 2622486790 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ozment Adam |
| Credentials | D.D.S. |
| Telephone Number | 2622488766 |
NPI Number Detail
| NPI Number | 1063420206 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 312 Center St |
|---|---|
| City | Lake Geneva |
| State | Wisconsin (WI) |
| Post Code | 531471904 |
| Phone Number | 2622488766 |
| Fax Number | 2622486790 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
|
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. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Lake Geneva Oral And Maxillofacial Surgery, Ltd by the Centers for Medicare & Medicaid Services?
The Lake Geneva Oral And Maxillofacial Surgery, Ltd has been assigned the NPI (National Provider Identifier) 1063420206. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lake Geneva Oral And Maxillofacial Surgery, Ltd is physically located?
The Lake Geneva Oral And Maxillofacial Surgery, Ltd is physically situated at the following address: 312 Center St, Lake Geneva, WI, 531471904.
What is Lake Geneva Oral And Maxillofacial Surgery, Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lake Geneva Oral And Maxillofacial Surgery, Ltd's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
When did the Lake Geneva Oral And Maxillofacial Surgery, Ltd receive its 1063420206?
The Lake Geneva Oral And Maxillofacial Surgery, Ltd was issued its 1063420206 on 2006-08-03, which is the date when the organization was assigned this unique identifier.
When was the information related to Lake Geneva Oral And Maxillofacial Surgery, Ltd most recently updated or refreshed?
The details pertaining to the Lake Geneva Oral And Maxillofacial Surgery, Ltd, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA