ORAL SURGERY ASSOC LTD – NPI #1013020866
Oral & Maxillofacial Surgery

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Health Care Provider Taxonomy Code for Oral & Maxillofacial Surgery

ORAL SURGERY ASSOC LTD is an oral & maxillofacial surgeon located in FOND DU LAC, WI. NPPES has assigned the NPI number 1013020866 to ORAL SURGERY ASSOC LTD on August 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ORAL SURGERY ASSOC LTD below.

NPI Profile for
ORAL SURGERY ASSOC LTD

NPI Number
1013020866
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ORAL SURGERY ASSOC LTD
Primary location
464 SOUTH HICKORY STREET
SUITE A
FOND DU LAC, WI 54935
Phone: (920) 923-0111 Fax: (920) 923-0366
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GUY JENSEN
OWNER
Phone: (920) 923-0111
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)		 WI 5001856-015

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.