OrganizationActive
Apple Creek Oral Surgery, Sc
NPI 1275753659 · Oral and Maxillofacial Pathology Dentistry · Appleton, WI
Provider details
- NPI number
- 1275753659
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Authorized official
- Timothy Koll, President
- License
- 4243 (WI)
Mailing address
2410 E. Evergreen Drive
Appleton, WI 54913
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.