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

Oral and Maxillofacial Surgery Asso of Eau Claire SC

Organization Endodontics · NPI 1316954928

Oral and Maxillofacial Surgery Asso of Eau Claire SC is an Endodontics in Altoona, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
8

Practice location Address checks out

788 Oakleaf Way
Altoona, WI 54720
Phone: (715) 834-8414
Fax: (715) 834-3557
Show map & directions

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

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 4495-015 (WI)
Endodontics Taxonomy 1223E0200X
Endodontics Taxonomy 1223E0200X · Licence 6222-15 (WI)
Endodontics Taxonomy 1223E0200X · Licence 4412-015 (WI)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 4680-015 (WI)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 5112-015 (WI)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 5563-015 (WI)

Record details

NPI number1316954928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Thor — Transcription And Credentialing · (715) 834-8414
Other names Oral And Maxillofacial Surgery Associates Of Eau Claire Sc; Oral And Maxillofacial Surgery Associates Of Eau Claire Sc
NPI enumeratedAugust 3, 2006
Last updated in NPPESJuly 26, 2018
Mailing address1120 Oak Ridge Drive, Eau Claire, WI 54701

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