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

Mr. Kim J Pansegrau, DDSMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1518990167

Mr. Kim J Pansegrau, DDSMD is an Oral Surgery in Madison, Wisconsin. Graduated from University of Iowa College of Dentistry in 1996, 30 years ago. Practices with Center for Oral and Maxillofacial Surgery SC, a 6-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
30
Trained at
University of Iowa College of Dentistry
Licensed in
WI
In the registry since
2006

Practice location Address checks out

7007 Old Sauk Rd
Madison, WI 53717-2307
Phone: (608) 833-2060
Fax: (608) 833-1737
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 5144015 (WI)

Record details

NPI number1518990167
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMD
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolUNIVERSITY OF IOWA COLLEGE OF DENTISTRY
Graduated 1996 (30 years in practice)
Group practice Center For Oral And Maxillofacial Surgery Sc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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