Kenosha Oral Surgery, S.c.
NPI 1710160486 · Oral and Maxillofacial Surgery (Dentist) · Kenosha, WI
Kenosha Oral Surgery, S.c. is a Oral and Maxillofacial Surgery (Dentist) organization in Kenosha, WI (NPI 1710160486).
Provider details
- NPI number
- 1710160486
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Dale Willoughby, President(262) 658-3559
- License
- 4998015 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs 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
- 2007-12-17
- Last updated
- 2022-06-02
- Certified
- 2022-06-02
Frequently asked questions
- What is Kenosha Oral Surgery, S.c.'s NPI number?
- Kenosha Oral Surgery, S.c.'s National Provider Identifier (NPI) is 1710160486, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenosha Oral Surgery, S.c.?
- Kenosha Oral Surgery, S.c. is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Kenosha Oral Surgery, S.c. located?
- Kenosha Oral Surgery, S.c.'s practice location on file with NPPES is 6707 39th Ave, Kenosha, WI 53142-7125.
- What is Kenosha Oral Surgery, S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Kenosha Oral Surgery, S.c. is (262) 658-3559.
- Who is the authorized official for Kenosha Oral Surgery, S.c.?
- The authorized official listed on Kenosha Oral Surgery, S.c.'s NPPES record is Dale Willoughby, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenosha Oral Surgery, S.c.'s NPI active?
- Yes — Kenosha Oral Surgery, S.c.'s NPI (1710160486) is active in the NPPES registry as of the last update on 2022-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.