WISCONSIN ORAL & MAXILLOFACIAL SURGERY LLC; NPI #1013409002

Contact Information

WISCONSIN ORAL & MAXILLOFACIAL SURGERY LLC

2603 W RAWSON AVE STE 123
OAK CREEK, WI 53154-8422

Phone: 914-325-5672
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Oral and Maxillofacial Surgery	261QS0112X
Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for WISCONSIN ORAL & MAXILLOFACIAL SURGERY LLC

NPI Number	`1013409002`
LBN Legal business name	WISCONSIN ORAL & MAXILLOFACIAL SURGERY LLC
Authorized official	EJLAL ALALAWI - (OWNER/PROVIDER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/05/2018
Last updated	06/05/2018 - About 8 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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