OrganizationActive
Oconomowoc Dental Anesthesia Center
NPI 1053972661 · Oral and Maxillofacial Surgery Clinic/Center · Oconomowoc, WI
Provider details
- NPI number
- 1053972661
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Henry Hopkinson, Executive Director(321) 514-4992
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
888 Thackeray Trl Ste 214
Oconomowoc, WI 53066-4342
Phone: (262) 567-9116
Approximate (ZIP-level) locationGet directions
Mailing address
888 Thackeray Trl Ste 214
Oconomowoc, WI 53066-4342
Registry dates
- Enumerated
- 2019-06-25
- Last updated
- 2019-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.