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

Central Wisconsin Oral and Facial Surgery, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1477065787

Central Wisconsin Oral and Facial Surgery, LLC is an Oral and Maxillofacial Surgery (Dentist) in Antigo, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

438 Edison St
Antigo, WI 54409-1845
Phone: (715) 432-4565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 5831-15 (WI)

Record details

NPI number1477065787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paulette Wright — Manager · (843) 525-0900
NPI enumeratedOctober 26, 2017
Last updated in NPPESOctober 26, 2017
Mailing address968 Ribaut Rd Ste 3, Beaufort, SC 29902-8002