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

Premier Oral & Maxillofacial Surgery SC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1992806269

Premier Oral & Maxillofacial Surgery SC is an Oral and Maxillofacial Surgery (Dentist) in Janesville, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

1602 N Randall Ave
Janesville, WI 53545-1124
Phone: (608) 756-8744
Fax: (608) 756-5344
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 5E10250 (WI)

Record details

NPI number1992806269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Dieter — Manager · (608) 756-8744
Other names Southern Wisconsin Oral & Maxillofacial Surgery S.C.
NPI enumeratedSeptember 26, 2006
Last updated in NPPESJune 11, 2012
Mailing address1602 N Randall Ave, Janesville, WI 53545-1124

Other providers in Janesville