National Provider Identifier Database

ORAL MAXILLOFACIAL SURGERY FOX CITIES SC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

ORAL & MAXILLOFACIAL SURGERY FOX CITIES S.C.
5395 MICHAELS DR
APPLETON, WI54913-8447
Phone: 920-739-1214
Fax: 920-739-5855
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for ORAL & MAXILLOFACIAL SURGERY FOX CITIES S.C.

NPI Number 1861525289
Legal business name
LBN
ORAL & MAXILLOFACIAL SURGERY FOX CITIES S.C.
Authorized official ANN DUDLEY - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 03/14/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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