Oral Facial and Periodontal Surgery LLC
NPI #1144772906 in Mt Pleasant, Wisconsin
Provider Information
- NPI Number
- 1144772906
- Entity Type
- Organization
- Organization Name
- Oral Facial and Periodontal Surgery LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Oct 27, 2016
- Last Updated
- Jul 21, 2025
Practice Location
- Address
- 13200 GLOBE DR STE 108
- City
- Mt Pleasant
- State
- Wisconsin
- ZIP Code
- 53177-1606
- Phone
- (262) 886-0147
Authorized Official
- Name
- MARY BALLARD, DDS
- Title
- OWNER
- Phone
- (262) 886-0147
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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