Sheboygan Oral And Maxillofacial Assoc Ltd in Sheboygan - Oral And Maxillofacial Surgery
Sheboygan Oral And Maxillofacial Assoc Ltd - NPI 1306894134
Sheboygan Oral And Maxillofacial Assoc Ltd is a Oral And Maxillofacial Surgery in Sheboygan, Wisconsin. Sheboygan Oral And Maxillofacial Assoc Ltd practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Sheboygan Oral And Maxillofacial Assoc Ltd is 1306894134. The last update date is 2009-01-21.
Sheboygan Oral And Maxillofacial Assoc Ltd's current location address is 3637 Wilgus Avenue, Sheboygan, Wisconsin. You can contact this provider via phone number 9204588213 and fax number 9204599797. The mailing address for Sheboygan Oral And Maxillofacial Assoc Ltd is 3637 Wilgus Avenue, Sheboygan, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sheboygan Oral And Maxillofacial Assoc Ltd |
|---|---|
| Address | 3637 Wilgus Avenue, Sheboygan, Wisconsin |
| Phone Number | 9204588213 |
| Fax Number | 9204599797 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Keller Jay John |
| Credentials | DDS |
| Telephone Number | 9204588213 |
NPI Number Detail
| NPI Number | 1306894134 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2009-01-21 |
Provider Mailing Address Detail
| Address | 3637 Wilgus Avenue |
|---|---|
| City | Sheboygan |
| State | Wisconsin (WI) |
| Post Code | 53081 |
| Phone Number | 9204588213 |
| Fax Number | 9204599797 |
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38365300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sheboygan Oral And Maxillofacial Assoc Ltd by the Centers for Medicare & Medicaid Services?
The Sheboygan Oral And Maxillofacial Assoc Ltd has been issued the NPI (National Provider Identifier) 1306894134 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Sheboygan Oral And Maxillofacial Assoc Ltd?
The Sheboygan Oral And Maxillofacial Assoc Ltd is situated at 3637 Wilgus Avenue, in the city of Sheboygan, state of WI, with the zip code 53081.
What is Sheboygan Oral And Maxillofacial Assoc Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sheboygan Oral And Maxillofacial Assoc Ltd's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306894134 to Sheboygan Oral And Maxillofacial Assoc Ltd?
The Centers for Medicare & Medicaid Services originally issued the 1306894134 to Sheboygan Oral And Maxillofacial Assoc Ltd on 2006-05-04.
As of what date were the details pertaining to Sheboygan Oral And Maxillofacial Assoc Ltd last refreshed?
The information related to the Sheboygan Oral And Maxillofacial Assoc Ltd, including its address, specialty, and other relevant details, was last updated on 2009-01-21.
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