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

Wisconsin Oral Medicine LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1417740465

Wisconsin Oral Medicine LLC is an Oral and Maxillofacial Surgery (Dentist) in Greenfield, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8405 W Forest Home Ave
Greenfield, WI 53228-3407
Phone: (443) 255-8743
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

Record details

NPI number1417740465
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bhavik Desai — Owner · (443) 255-8743
NPI enumeratedMay 23, 2025
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025
Mailing address6400 Industrial Loop, Greendale, WI 53129-2452

Other providers in Greenfield