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

Oral Facial and Periodontal Surgery LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1144772906

Oral Facial and Periodontal Surgery LLC is an Oral and Maxillofacial Surgery (Dentist) in Mt Pleasant, Wisconsin. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13200 Globe Dr Ste 108
Mt Pleasant, WI 53177-1606
Phone: (262) 886-0147
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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

Record details

NPI number1144772906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Ballard — Owner · (262) 886-0147
NPI enumeratedOctober 27, 2016
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025
Mailing address13200 Globe Dr Ste 108, Mt Pleasant, WI 53177-1606

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