Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Apple Creek Oral Surgery, SC

Organization Oral and Maxillofacial Pathology Dentistry · NPI 1275753659

Apple Creek Oral Surgery, SC is an Oral and Maxillofacial Pathology Dentistry in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

2410 E Evergreen Dr
Appleton, WI 54913
Phone: (920) 832-9500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X · Licence 4243 (WI)

Record details

NPI number1275753659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Koll — President · (920) 832-9500
NPI enumeratedApril 26, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2410 E. Evergreen Drive, Appleton, WI 54913

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