Oral Surgery Assoc Ltd

LBN: Oral Surgery Assoc Ltd
Oral Surgery Assoc Ltd is an health care organization with primary practice located at 464 South Hickory Street Suite A, Fond Du Lac WI 54935. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty. Oral Surgery Assoc Ltd can be contacted via phone (920) 923-0111, or through Jensen, Guy K via phone (920) 923-0111.

Contact Information

Primary practice address
464 South Hickory Street Suite A Fond Du Lac WI 54935
Phone: (920) 923-0111
Fax: (920) 923-0366
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Guy K DDS MS
Phone: (920) 923-0111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 5001856-015 Wisconsin
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 5000111-015 Wisconsin

Profile Details

NPI number 1013020866
LBN Legal business name Oral Surgery Assoc Ltd
DBA Doing business as
Authorized official Jensen, Guy K DDS MS
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2006
Last updated Aug 22nd, 2020 - about 5 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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