ORAL AND MAXILLOFACIAL SURGERY ASSO OF EAU CLAIRE SC – NPI #1316954928
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.

ORAL AND MAXILLOFACIAL SURGERY ASSO OF EAU CLAIRE SC is an oral & maxillofacial surgeon located in ALTOONA, WI. NPPES has assigned the NPI number 1316954928 to ORAL AND MAXILLOFACIAL SURGERY ASSO OF EAU CLAIRE SC on August 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES OF EAU CLAIRE SC. With multiple taxonomy codes selected, 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 8 years ago on Jul 26, 2018. 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 AND MAXILLOFACIAL SURGERY ASSO OF EAU CLAIRE SC below.

NPI Profile for
ORAL AND MAXILLOFACIAL SURGERY ASSO OF EAU CLAIRE SC

NPI Number
1316954928
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 AND MAXILLOFACIAL SURGERY ASSO OF EAU CLAIRE SC
Former Legal Business Name: ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES OF EAU CLAIRE SC
Primary location
788 OAKLEAF WAY
ALTOONA, WI 54720
Phone: (715) 834-8414 Fax: (715) 834-3557
Mailing address
1120 OAK RIDGE DRIVE
EAU CLAIRE, WI 54701
Phone: (715) 834-8414 Fax: (715) 834-3557
Organization Subpart
No
Authorized Official
GINA THOR
TRANSCRIPTION AND CREDENTIALING
Phone: (715) 834-8414
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 4680-015
1223S0112X
- Dentist / Oral and Maxillofacial Surgery
1223E0200X
- Dentist / Endodontics
WI 4412-015

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.