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

Wisconsin Oral Surgery LLC

Organization Dentist · NPI 1679132815

Wisconsin Oral Surgery LLC is a Dentist in West Allis, Wisconsin. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
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

10401 W Lincoln Ave Ste 101
West Allis, WI 53227-1255
Phone: (414) 327-4130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X
Dentist Taxonomy 122300000X
Prosthodontics Taxonomy 1223P0700X

Record details

NPI number1679132815
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAdvanced Dental Specialists, LLC
Authorized official Robert Trettin — President · (414) 357-2040
NPI enumeratedJune 11, 2019
Last updated in NPPESJune 11, 2019
Mailing address401 Edgewater Pl Ste 430, Wakefield, MA 01880-6225

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