OrganizationActive
Center for Oral & Maxillofacial Surgery Sc
NPI 1710900808 · Oral and Maxillofacial Surgery (Dentist) · Madison, WI
Provider details
- NPI number
- 1710900808
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Gary Sweeney, S Corp President(608) 833-2060
Specialties & taxonomies
Dental Providers
Practice location
7007 Old Sauk Rd
Madison, WI 53713
Phone: (608) 833-2060
Fax: (608) 833-1737
Approximate (ZIP-level) locationGet directions
Mailing address
20 S Park St #506
Madison, WI 53715
Registry dates
- Enumerated
- 2006-07-26
- 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.