| Madison Oral & Maxillofacial Surgeons Sc | |
|
5801 Research Park Blvd Ste 110 Madison WI 53719-6002 | |
| (608) 274-7711 | |
| (608) 274-9224 |
| Full Name | Madison Oral & Maxillofacial Surgeons Sc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5801 Research Park Blvd, Madison, Wisconsin |
| Authorized Official Name and Position | Gregory G Stroncek (TREASURER) |
| Authorized Official Contact | 6082740770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Oral & Maxillofacial Surgeons Sc 5801 Research Park Blvd Ste 110 Madison WI 53719-6002 Ph: (608) 274-7711 | Madison Oral & Maxillofacial Surgeons Sc 5801 Research Park Blvd Ste 110 Madison WI 53719-6002 Ph: (608) 274-7711 |
| NPI Number | 1144261199 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144261199 | NPI | - | NPPES |
| 38358100 | Medicaid | WI | |
| 407050 | Other | WI | DEAN HEALTH PLAN GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Wisconsin) | Primary |
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