OrganizationActive
Wisconsin Oral Surgery LLC
NPI 1679132815 · Oral and Maxillofacial Pathology Dentistry · West Allis, WI
Provider details
- NPI number
- 1679132815
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Parent organization
- Advanced Dental Specialists, LLC
- Organization subpart
- Yes
- Authorized official
- Robert Trettin, President(414) 357-2040
Specialties & taxonomies
Dental Providers
- Prosthodontics1223P0700X
Dental Providers
- Dentist122300000X
Dental Providers
Practice location
10401 W Lincoln Ave Ste 101
West Allis, WI 53227-1255
Phone: (414) 327-4130
Approximate (ZIP-level) locationGet directions
Mailing address
401 Edgewater Pl Ste 430
Wakefield, MA 01880-6225
Registry dates
- Enumerated
- 2019-06-11
- Last updated
- 2019-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.