Wisconsin Oral Medicine LLC
NPI 1417740465 · Oral and Maxillofacial Surgery (Dentist) · Greenfield, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wisconsin Oral Medicine LLC is a Oral and Maxillofacial Surgery (Dentist) organization in Greenfield, WI (NPI 1417740465).
Provider details
- NPI number
- 1417740465
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Bhavik Desai, Owner(443) 255-8743
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-23
- Last updated
- 2025-05-23
- Certified
- 2025-05-23
Frequently asked questions
- What is Wisconsin Oral Medicine LLC's NPI number?
- Wisconsin Oral Medicine LLC's National Provider Identifier (NPI) is 1417740465, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wisconsin Oral Medicine LLC?
- Wisconsin Oral Medicine LLC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Wisconsin Oral Medicine LLC located?
- Wisconsin Oral Medicine LLC's practice location on file with NPPES is 8405 W Forest Home Ave, Greenfield, WI 53228-3407.
- What is Wisconsin Oral Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Wisconsin Oral Medicine LLC is (443) 255-8743.
- Does Wisconsin Oral Medicine LLC accept Medicare?
- Wisconsin Oral Medicine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wisconsin Oral Medicine LLC?
- The authorized official listed on Wisconsin Oral Medicine LLC's NPPES record is Bhavik Desai, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wisconsin Oral Medicine LLC's NPI active?
- Yes — Wisconsin Oral Medicine LLC's NPI (1417740465) is active in the NPPES registry as of the last update on 2025-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.