Whalio Doctors

NPI 1316954928

Oral and Maxillofacial Surgery Asso of Eau Claire Sc

Organisation Oral & Maxillofacial Surgery (D.M.D.) Altoona, WI

Practice location

Address
788 Oakleaf Way, Altoona, WI 54720
Phone
(715) 834-8414
Fax
(715) 834-3557
Mailing address
1120 Oak Ridge Drive, Eau Claire, WI 54701

Authorised official

Name
Gina K Thor
Title
Transcription and Credentialing
Phone
(715) 834-8414

Registered specialties (8)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 4495-015 (WI)
Endodontics
Dental Providers Taxonomy 1223E0200X
Endodontics
Dental Providers Taxonomy 1223E0200X Licence 6222-15 (WI)
Endodontics
Dental Providers Taxonomy 1223E0200X Licence 4412-015 (WI)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 4680-015 (WI)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 5112-015 (WI)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 5563-015 (WI)

Registry record

NPI
1316954928
Entity type
Organization
NPI issued
3 Aug 2006
Record last updated
26 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.