Winnebago Oral Surgery, S.C. in Fond Du Lac - Oral And Maxillofacial Surgery

Winnebago Oral Surgery, S.C. - NPI 1396864229

Winnebago Oral Surgery, S.C. is a Oral And Maxillofacial Surgery in Fond Du Lac, Wisconsin. Winnebago Oral Surgery, S.C. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Winnebago Oral Surgery, S.C. is 1396864229. The last update date is 2012-02-06.

Winnebago Oral Surgery, S.C.'s current location address is 155 N. Rolling Meadows Dr., Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209215001. The mailing address for Winnebago Oral Surgery, S.C. is 155 N. Rolling Meadows Dr., Fond Du Lac, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Winnebago Oral Surgery, S.C.
Address 155 N. Rolling Meadows Dr., Fond Du Lac, Wisconsin
Phone Number 9209215001
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mcfarlane S. Christopher
Credentials D.D.S.
Telephone Number 9202314600

NPI Number Detail

NPI Number 1396864229
Provider Enumeration Date 2007-03-29
Last Updated Date 2012-02-06

Provider Mailing Address Detail

Address 155 N. Rolling Meadows Dr.
City Fond Du Lac
State Wisconsin (WI)
Post Code 549379482
Phone Number 9209215001
Fax Number

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.

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FAQs about Winnebago Oral Surgery, S.C.

What is the unique 10-digit identifier code issued to Winnebago Oral Surgery, S.C. by the Centers for Medicare & Medicaid Services?

The Winnebago Oral Surgery, S.C. has been assigned the NPI (National Provider Identifier) 1396864229 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Winnebago Oral Surgery, S.C.?

The Winnebago Oral Surgery, S.C. is physically situated at 155 N. Rolling Meadows Dr., in the city of Fond Du Lac, state of WI, with the postal code 549379482.

What is Winnebago Oral Surgery, S.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Winnebago Oral Surgery, S.C. is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services issue the 1396864229 to Winnebago Oral Surgery, S.C.?

The Winnebago Oral Surgery, S.C. received its 1396864229 assignment from the Centers for Medicare & Medicaid Services on 2007-03-29.

When was the information pertaining to Winnebago Oral Surgery, S.C. most recently updated or revised?

The details related to Winnebago Oral Surgery, S.C., including its address, specialty, and other relevant information, were last updated or revised on 2012-02-06.

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