Oral and Maxillofacial Surgery Asso of Eau Claire SC

Organization Active
NPI 1316954928
Oral & Maxillofacial Surgery (D.M.D.) Altoona, WI

NPI 1316954928 belongs to Oral and Maxillofacial Surgery Asso of Eau Claire SC, an oral & maxillofacial surgery (d.m.d.) with a practice location in Altoona, WI. The NPI was issued on August 3, 2006, and the record was last updated in NPPES on July 26, 2018. The record lists 8 taxonomy codes.

This record hasn't been updated in NPPES since 2018. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000X 4495-015 (WI)
Endodontics 1223E0200X Not listed
Endodontics 1223E0200X 6222-15 (WI)
Endodontics 1223E0200X 4412-015 (WI)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Not listed
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 4680-015 (WI)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 5112-015 (WI)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 5563-015 (WI)

Practice location

788 Oakleaf Way
Altoona, WI 54720
Phone: (715) 834-8414

Local context

Active NPPES records list 3 providers with oral & maxillofacial surgery (d.m.d.) as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 20 in Wisconsin and 2,081 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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