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

Wisconsin Oral & Maxillofacial Surgery LLC

Organization Dental Clinic/Center · NPI 1013409002

Wisconsin Oral & Maxillofacial Surgery LLC is a Dental Clinic/Center in Oak Creek, Wisconsin. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
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

2603 W Rawson Ave Ste 123
Oak Creek, WI 53154-8422
Phone: (914) 325-5672
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1013409002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ejlal Alalawi — Owner/Provider · (914) 325-5672
Other names White Oak Dental
NPI enumeratedJune 5, 2018
Last updated in NPPESJune 5, 2018
Mailing address124 Legend Way, Wales, WI 53183-9539

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