| Sheboygan Oral And Maxillofacial Assoc Ltd | |
|
.3637 Wilgus Avenue Sheboygan WI 53081 | |
| (920) 458-8213 | |
| (920) 459-9797 |
| Full Name | Sheboygan Oral And Maxillofacial Assoc Ltd |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | .3637 Wilgus Avenue, Sheboygan, Wisconsin |
| Authorized Official Name and Position | John Jay Keller (PRESIDENT) |
| Authorized Official Contact | 9204588213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheboygan Oral And Maxillofacial Assoc Ltd 3637 Wilgus Avenue Sheboygan WI 53081 Ph: (920) 458-8213 | Sheboygan Oral And Maxillofacial Assoc Ltd .3637 Wilgus Avenue Sheboygan WI 53081 Ph: (920) 458-8213 |
| NPI Number | 1306894134 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 01/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306894134 | NPI | - | NPPES |
| 38365300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
David Blong S Lee Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Michigan Ave, Sheboygan, WI 53081 Phone: 920-459-9010 Fax: 920-459-9272 | |
Jeffrey Jh Holsen, Dds,sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2905 S 12th St, Sheboygan, WI 53081 Phone: 920-459-8467 Fax: 920-459-9886 | |
Jerry E Cooper Dds, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1407 N 8th St, Sheboygan, WI 53081 Phone: 920-452-1110 Fax: 920-452-1996 | |
James P. Zientek Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1407 N 8th St, Sheboygan, WI 53081 Phone: 920-452-1110 | |
Shoreline Periodontics Limited Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2808 Kohler Memorial Dr, Suite 2, Sheboygan, WI 53081 Phone: 920-452-8802 Fax: 920-452-2852 | |
Family Dental Of South Sheboygan Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3555 Washington Ave, Sheboygan, WI 53081 Phone: 920-395-4819 |