Elmbrook Oral & Maxillofacial Surgery Assoc., S.C.

LBN: Elmbrook Oral & Maxillofacial Surgery Assoc., S.C.
Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. is an health care organization with primary practice located at 12720 W North Ave , Brookfield WI 53005-4637. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. can be contacted via phone (262) 784-0053, or through Wallock, Robert A. via phone (262) 784-0053.

Contact Information

Primary practice address
12720 W North Ave Brookfield WI 53005-4637
Phone: (262) 784-0053
Fax: (262) 784-0757
Website:
Map and Directions
Authorized official contact:
Name: Wallock, Robert A. Doctor of Dental Surgery (DDS)
Phone: (262) 784-0053

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4138-015 Wisconsin

Profile Details

NPI number 1366586224
LBN Legal business name Elmbrook Oral & Maxillofacial Surgery Assoc., S.C.
DBA Doing business as
Authorized official Wallock, Robert A. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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