| Oral And Maxillofacial Surgery Associates Of Waukesha, Ltd. | |
|
1111 Delafield St Suite 222 Waukesha WI 53188-3403 | |
| (262) 547-8665 | |
| (262) 547-4328 |
| Full Name | Oral And Maxillofacial Surgery Associates Of Waukesha, Ltd. |
|---|---|
| Speciality | Dentist |
| Location | 1111 Delafield St, Waukesha, Wisconsin |
| Authorized Official Name and Position | Timothy Stephen Novak (PRESIDENT) |
| Authorized Official Contact | 2625478665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Maxillofacial Surgery Associates Of Waukesha, Ltd. 1111 Delafield St Suite 222 Waukesha WI 53188-3403 Ph: (262) 547-8665 | Oral And Maxillofacial Surgery Associates Of Waukesha, Ltd. 1111 Delafield St Suite 222 Waukesha WI 53188-3403 Ph: (262) 547-8665 |
| NPI Number | 1235247834 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 08/21/2012 |
| Medicare PECOS PAC ID | 0244267227 |
|---|---|
| Medicare Enrollment ID | O20050721000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235247834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Joseph M Schmidt |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1912014697 PECOS PAC ID: 7214964295 Enrollment ID: I20050726000079 |
| Provider Name | Timothy S Novak |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1194832824 PECOS PAC ID: 3577590553 Enrollment ID: I20050726000085 |
| Provider Name | Donald P Holzhauer |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1184732869 PECOS PAC ID: 1850328832 Enrollment ID: I20050726000092 |
| Provider Name | Joseph A Best |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1881702439 PECOS PAC ID: 7719914712 Enrollment ID: I20050726000105 |
| Provider Name | Michael Scott Connor |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1528173234 PECOS PAC ID: 7911903695 Enrollment ID: I20061020000287 |
| Provider Name | Kevin J Connor |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1174733588 PECOS PAC ID: 9032235866 Enrollment ID: I20100929000489 |
| Provider Name | Shane C Connor |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1285877654 PECOS PAC ID: 7315268687 Enrollment ID: I20150611002494 |
| Provider Name | Carolyn C Brookes |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1508028820 PECOS PAC ID: 1759697808 Enrollment ID: I20150903001539 |
Davies Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2117 Corporate Drive, Suite 100, Waukesha, WI 53189 Phone: 262-547-5813 Fax: 262-547-5835 | |
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