Oral Surgery Assoc Ltd in Fond Du Lac - Oral & Maxillofacial Surgery
Oral Surgery Assoc Ltd - NPI 1013020866
Oral Surgery Assoc Ltd is a Oral & Maxillofacial Surgery in Fond Du Lac, Wisconsin. Oral Surgery Assoc Ltd practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Oral Surgery Assoc Ltd is 1013020866. The last update date is 2020-08-22.
Oral Surgery Assoc Ltd's current location address is 464 South Hickory Street, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209230111 and fax number 9209230366. The mailing address for Oral Surgery Assoc Ltd is 464 South Hickory Street, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oral Surgery Assoc Ltd |
|---|---|
| Address | 464 South Hickory Street, Fond Du Lac, Wisconsin |
| Phone Number | 9209230111 |
| Fax Number | 9209230366 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jensen K Guy |
| Credentials | DDS MS |
| Telephone Number | 9209230111 |
NPI Number Detail
| NPI Number | 1013020866 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 464 South Hickory Street |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 54935 |
| Phone Number | 9209230111 |
| Fax Number | 9209230366 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | 5001856-015 |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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What is the unique identifier code issued to Oral Surgery Assoc Ltd by the Centers for Medicare & Medicaid Services (CMS)?
The Oral Surgery Assoc Ltd has been assigned the NPI (National Provider Identifier) 1013020866. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Oral Surgery Assoc Ltd located?
The Oral Surgery Assoc Ltd is located at 464 South Hickory Street, Fond Du Lac, WI 54935.
What is the Oral Surgery Assoc Ltd's area of specialization and corresponding taxonomy classification?
The Oral Surgery Assoc Ltd's specialty field is Oral & Maxillofacial Surgery, and it falls under the taxonomy code 204E00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1013020866 assigned to Oral Surgery Assoc Ltd?
The Oral Surgery Assoc Ltd was issued its 1013020866 on 2006-08-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Oral Surgery Assoc Ltd's information last updated?
The Oral Surgery Assoc Ltd's information was last updated on 2020-08-22.