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

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1053972661

Oconomowoc Dental Anesthesia Center is an Oral and Maxillofacial Surgery Clinic/Center in Oconomowoc, Wisconsin. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

888 Thackeray Trl Ste 214
Oconomowoc, WI 53066-4342
Phone: (262) 567-9116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1053972661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Hopkinson — Executive Director · (321) 514-4992
NPI enumeratedJune 25, 2019
Last updated in NPPESJune 25, 2019
Mailing address888 Thackeray Trl Ste 214, Oconomowoc, WI 53066-4342