Oral and Maxillofacial Surgery Asso of Eau Claire Sc

NPI #1316954928 in Altoona, Wisconsin

Provider Information

NPI Number: 1316954928
Entity Type: Organization
Organization Name: Oral and Maxillofacial Surgery Asso of Eau Claire Sc
Primary Specialty: Oral & Maxillofacial Surgery
Enumeration Date: Aug 3, 2006
Last Updated: Jul 26, 2018

Practice Location

Address: 788 OAKLEAF WAY
City: Altoona
State: Wisconsin
ZIP Code: 54720
Phone: (715) 834-8414

Authorized Official

Name: GINA K THOR
Title: TRANSCRIPTION AND CREDENTIALING
Phone: (715) 834-8414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Marylou C Sabino, DDS	Oral & Maxillofacial Surgery	Milwaukee	AI Deep Dive
DR. Robert E Cline, DDS	Oral & Maxillofacial Surgery	Sheboygan	AI Deep Dive
Yvonne R. Dejean, DMD	Oral & Maxillofacial Surgery	Marshfield	AI Deep Dive
Bruce Thomas, DDS	Oral & Maxillofacial Surgery	Wisc Rapids	AI Deep Dive

Organizations

Provider Name	Specialty	City
Oral Surgery Assoc Ltd	Oral & Maxillofacial Surgery	Fond Du Lac	AI Deep Dive

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