| Kenosha Oral Surgery, S.c. | |
|
6707 39th Ave Kenosha WI 53142-7125 | |
| (262) 658-3559 | |
| (262) 658-0276 |
| Full Name | Kenosha Oral Surgery, S.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6707 39th Ave, Kenosha, Wisconsin |
| Authorized Official Name and Position | Dale Willoughby (PRESIDENT) |
| Authorized Official Contact | 2626583559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenosha Oral Surgery, S.c. 4707 Washington Rd Kenosha WI 53144-1597 Ph: (262) 658-3559 | Kenosha Oral Surgery, S.c. 6707 39th Ave Kenosha WI 53142-7125 Ph: (262) 658-3559 |
| NPI Number | 1710160486 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 06/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710160486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4998015 (Wisconsin) | Primary |
Riley & Armstrong D.d.s., S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7910 39th Ave, Kenosha, WI 53142 Phone: 262-694-7672 Fax: 262-694-7110 | |
Kenosha Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5707 75th St, Kenosha, WI 53142 Phone: 262-697-0321 | |
Dentacare Kenosha Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6521 Green Bay Rd, Kenosha, WI 53142 Phone: 414-306-6420 Fax: 877-335-3684 | |
Frantal Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7601 Pershing Blvd, Kenosha, WI 53142 Phone: 262-694-1100 Fax: 262-694-1103 | |
Gregory A. Santarelli Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5017 Green Bay Rd Ste 138, Kenosha, WI 53144 Phone: 262-654-6770 Fax: 262-654-6727 | |
Dental Care Of Kenosha Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Washington Rd, Kenosha, WI 53144 Phone: 262-237-6238 | |
Bruce F Andrekus, Dds,sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3726 Roosevelt Rd, Kenosha, WI 53142 Phone: 262-652-7956 |