Great Lakes Oral & Maxillofacial Surgery, PA
Great Lakes Oral & Maxillofacial Surgery, PA is an Oral and Maxillofacial Surgery (Dentist) in New Richmond, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.
- Licensed in
- WI
- In the registry since
- 2010
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
227 Meridian Dr # 6New Richmond, WI 54017-2565
Phone: (715) 246-5150
Fax: (715) 246-5102
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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 4482 (WI) |
|---|
Record details
| NPI number | 1205136074 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Connie Miller — Practice Manager · (651) 351-1010 |
| NPI enumerated | October 27, 2010 |
| Last updated in NPPES | October 27, 2010 |
| Mailing address | 227 Meridian Dr # 6, New Richmond, WI 54017-2565 |
Other providers in New Richmond
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Regan Frederick Brown, DDS
227 Meridian Dr Ste 3, New Richmond, WI 54017-2565 · (715) 246-5150