National Provider Identifier Database

ORAL SURGERY CLINIC OF LA CROSSE LTD
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 SURGERY CLINIC OF LA CROSSE LTD.
2819 NATIONAL DR
ONALASKA, WI54650-6703
Phone: 608-782-8193
Fax: 608-782-4517
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for ORAL SURGERY CLINIC OF LA CROSSE LTD.

NPI Number 1962531178
Legal business name
LBN
ORAL SURGERY CLINIC OF LA CROSSE LTD.
Authorized official DAVID LUDINGTON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/05/2007
Last updated 05/29/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • WI Medicaid: 33757600
  • WI Other: 835478 UNITED CONCORDIA

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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