Oral & Maxillofacial Surgery Consultants of Wisconsin, S.c.
NPI #1285649921 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1285649921
- Entity Type
- Organization
- Organization Name
- Oral & Maxillofacial Surgery Consultants of Wisconsin, S.c.
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jul 30, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4811 S 76TH ST
- Address 2
- SUITE 304
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53220-4364
- Phone
- (414) 281-3344
Authorized Official
- Name
- DR. RONALD HENRY NELLEN, DDS
- Title
- PRESIDENT
- Phone
- (414) 281-3344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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