| Oral Surgery Associates Of Milwaukee Sc | |
|
10535 N Port Washington Rd Suite 102 Mequon WI 53092-5583 | |
| (262) 241-0900 | |
| (262) 241-0904 |
| Full Name | Oral Surgery Associates Of Milwaukee Sc |
|---|---|
| Speciality | Dentist |
| Location | 10535 N Port Washington Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Mark J Kortebein (ORAL & MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 2622410900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Associates Of Milwaukee Sc 10535 N Port Washington Rd Suite 102 Mequon WI 53092-5583 Ph: (262) 241-0900 | Oral Surgery Associates Of Milwaukee Sc 10535 N Port Washington Rd Suite 102 Mequon WI 53092-5583 Ph: (262) 241-0900 |
| NPI Number | 1477647832 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 01/30/2008 |
| Medicare PECOS PAC ID | 9032007091 |
|---|---|
| Medicare Enrollment ID | O20040310000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477647832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4130-015 (Wisconsin) | Primary |
| Provider Name | Mark J Kortebein |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1336233790 PECOS PAC ID: 6709774763 Enrollment ID: I20040416000648 |
| Provider Name | Alan A Kimmel |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1760576128 PECOS PAC ID: 5698876639 Enrollment ID: I20070720000638 |
| Provider Name | Peter L Wagner |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548356280 PECOS PAC ID: 0840367918 Enrollment ID: I20080916000459 |
Kittleson Orthodontics, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10521 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-3141 | |
North Shore Dental Group S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 W Mequon Rd, Mequon, WI 53092 Phone: 262-242-1180 Fax: 262-242-0930 | |
Comprehensive Dental Services Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10521 N Port Washington Rd, Suite 200, Mequon, WI 53092 Phone: 262-241-2060 Fax: 262-241-2064 | |
Wisconsin Dental Group, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6048 W Mequon Rd Ste 200, Mequon, WI 53092 Phone: 414-216-9211 Fax: 414-216-9216 | |
Northshore Smiles, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10303 N Port Washington Rd Ste 103a, Mequon, WI 53092 Phone: 262-240-0405 | |
Brent J Martin Dds Ms Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1345 W Towne Square Rd, Mequon, WI 53092 Phone: 262-241-3019 Fax: 262-241-3027 | |
East Towne Dental Associated Belgium Family Dental Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11501 N Prot Washington Rd, Mequon, WI 53092 Phone: 262-241-8880 Fax: 262-241-5250 |