Oral & Maxillofacial Surgery Fox Cities S.c.

NPI #1861525289 in Appleton, Wisconsin

Provider Information

NPI Number: 1861525289
Entity Type: Organization
Organization Name: Oral & Maxillofacial Surgery Fox Cities S.c.
Primary Specialty: Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date: Mar 14, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5395 MICHAELS DR
City: Appleton
State: Wisconsin
ZIP Code: 54913-8447
Phone: (920) 739-1214

Authorized Official

Name: MRS. ANN K DUDLEY
Title: OFFICE MANAGER
Phone: (920) 739-1214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	261QS0112X	Primary

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Oral Surgery Clinic of La Crosse Ltd.	Clinic/Center - Oral and Maxillofacial Surgery	Onalaska	AI Deep Dive
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