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NPI 1477065787

OrganizationActive

Central Wisconsin Oral and Facial Surgery, LLC

NPI 1477065787 · Oral and Maxillofacial Surgery (Dentist) · Antigo, WI

Provider details

NPI number: 1477065787
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Authorized official: Paulette Wright, Manager
License: 5831-15 (WI)

Practice location

438 Edison St

Antigo, WI 54409-1845

Phone: (715) 432-4565

More WI providers

Mailing address

968 Ribaut Rd Ste 3

Beaufort, SC 29902-8002

Registry dates

Enumerated: 2017-10-26
Last updated: 2017-10-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Central Wisconsin Oral and Facial Surgery, LLC — NPI 1477065787, Antigo, WI | NPI Central