Oral Surgery Clinic Of La Crosse Ltd. in Onalaska - Oral And Maxillofacial Surgery
Oral Surgery Clinic Of La Crosse Ltd. - NPI 1962531178
Oral Surgery Clinic Of La Crosse Ltd. is a Oral And Maxillofacial Surgery in Onalaska, Wisconsin. Oral Surgery Clinic Of La Crosse Ltd. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Oral Surgery Clinic Of La Crosse Ltd. is 1962531178. The last update date is 2013-05-29.
Oral Surgery Clinic Of La Crosse Ltd.'s current location address is 2819 National Dr, Onalaska, Wisconsin. You can contact this provider via phone number 6087828193 and fax number 6087824517. The mailing address for Oral Surgery Clinic Of La Crosse Ltd. is 2819 National Dr, Onalaska, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oral Surgery Clinic Of La Crosse Ltd. |
|---|---|
| Address | 2819 National Dr, Onalaska, Wisconsin |
| Phone Number | 6087828193 |
| Fax Number | 6087824517 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ludington Paul David |
| Credentials | D.D.S. |
| Telephone Number | 6087828193 |
NPI Number Detail
| NPI Number | 1962531178 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2013-05-29 |
Provider Mailing Address Detail
| Address | 2819 National Dr |
|---|---|
| City | Onalaska |
| State | Wisconsin (WI) |
| Post Code | 546506703 |
| Phone Number | 6087828193 |
| Fax Number | 6087824517 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 261Qs0112X |
|
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 |
|---|---|---|---|
| 33757600 | WI | -- | |
| 835478 | WI | UNITED CONCORDIA |
Post Comment/ Review Below
What is the Oral Surgery Clinic Of La Crosse Ltd.'s unique identification number?
The Oral Surgery Clinic Of La Crosse Ltd. has been assigned the NPI (National Provider Identifier) Number 1962531178 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Oral Surgery Clinic Of La Crosse Ltd. is located?
The Oral Surgery Clinic Of La Crosse Ltd. is situated at the following address: 2819 National Dr, Onalaska, WI, 546506703.
What is Oral Surgery Clinic Of La Crosse Ltd.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Oral Surgery Clinic Of La Crosse Ltd.'s area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 261Qs0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962531178 to Oral Surgery Clinic Of La Crosse Ltd.?
The Centers for Medicare & Medicaid Services originally issued the 1962531178 to Oral Surgery Clinic Of La Crosse Ltd. on 2007-03-05.
As of what date were the details pertaining to Oral Surgery Clinic Of La Crosse Ltd. last refreshed?
The information related to the Oral Surgery Clinic Of La Crosse Ltd., including its address, specialty, and other relevant details, was last updated on 2013-05-29.