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NPI · 1902116288 · NPPES-sourced

Great Lakes Oral & Maxillofacial Surgery, P.A.

ActiveOral and Maxillofacial Surgery (Dentist)
NPI Number
1902116288
Type 2 · Organisation
Contact
(715) 381-7070
License WI · 4482
Last Updated
About 15 years ago (Oct 2010)
Enumerated 2010-10-20
Primary practice addressWI · 54016-9391
1200 Crest View Dr Ste 1Hudson, WI 54016-9391
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About this NPIWhat this record shows.

NPI 1902116288 is registered to Great Lakes Oral & Maxillofacial Surgery, P.A., a healthcare organisation classified as "Oral and Maxillofacial Surgery (Dentist)" and located at 1200 Crest View Dr Ste 1 in Hudson, Wisconsin. The organisation's authorised official is Richard Brunton. The organisation has been enumerated in the NPI registry since 2010.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2010-10-20
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Great Lakes Oral & Maxillofacial Surgery, P.A. accepts. To confirm in-network status with your specific health plan, contact Great Lakes Oral & Maxillofacial Surgery, P.A. directly at (715) 381-7070.

Frequently asked

Yes. NPI 1902116288 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Oral and Maxillofacial Surgery (Dentist) is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (715) 381-7070.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Great Lakes Oral & Maxillofacial Surgery, P.A. is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy1223S0112X
Last updated2010-10
Enumerated2010-10-20
StatusActive
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