Oral Surgery Assoc Ltd

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1013020866

Oral Surgery Assoc Ltd is an Oral & Maxillofacial Surgery (D.M.D.) in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in: WI
In the registry since: 2006
Specialties on file: 2

What do these letters mean?

Ltd — Limited: A form of business registration, not a clinical qualification.

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Practice location Address checks out

464 S Hickory St Ste A
Fond Du Lac, WI 54935
Phone: (920) 923-0111
Fax: (920) 923-0366

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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 5000111-015 (WI)
Oral & Maxillofacial Surgery (D.M.D.)	Taxonomy 204E00000X · Licence 5001856-015 (WI)

Record details

NPI number	1013020866
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Guy Jensen — Owner · (920) 923-0111
NPI enumerated	August 16, 2006
Last updated in NPPES	August 22, 2020
Mailing address	464 South Hickory Street, Suite A, Fond Du Lac, WI 54935