ORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES PA
NPI 1003900994
Dentist - Oral and Maxillofacial Surgery in Superior, WI

Q: What is Oral And Maxillofacial Surgical Associates PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since October 03, 2006

3712 TOWER AVE, SUITE E, SUPERIOR, WI 54880(715) 392-9846(715) 392-7040 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2025, Sep 30, 2024 (2 updates tracked since 2024).

On this page

About Oral And Maxillofacial Surgical Associates Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES PA (NPI 1003900994), doing business as Blue Water Oral And Facial Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Superior, Wisconsin and active in the NPI registry since October 2006. The organization lists Katherine Anne Lafleur, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1003900994

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES PA

Location Address3712 TOWER AVE, SUITE ESuperior, WI 54880-5567

Mailing Address3712 Tower Ave, Suite ESuperior, WI 54880-5567 · (715) 392-9846 · Fax (715) 392-7040

Phone(715) 392-9846

Fax(715) 392-7040

Organization SubpartNo

Authorized OfficialKatherine Anne LafleurPractice Administrator · (218) 722-1854

Enumeration DateOctober 3, 2006

Last NPPES UpdateFebruary 6, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2025

✔ NPI 1003900994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

3712 TOWER AVE, Superior, WI 54880

Open in Google Maps ↗

Other Names 1

Doing Business AsBlue Water Oral And Facial Surgery

Other Identifiers 2

Other000078627Medicare Clinic

Medicaid987507700MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB W FERRIS

Dentist

3712 TOWER AVE, SUITE A
SUPERIOR, WI 54880

Douglas County (715) 394-5792

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oral And Maxillofacial Surgical Associates PA's NPI number?

The NPI number for Oral And Maxillofacial Surgical Associates PA is 1003900994. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Blue Water Oral and Facial Surgery.

Where is Oral And Maxillofacial Surgical Associates PA located?

Oral And Maxillofacial Surgical Associates PA is located at 3712 Tower Ave Suite E, Superior, WI 54880. The listed phone number is (715) 392-9846.

What is Oral And Maxillofacial Surgical Associates PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Oral And Maxillofacial Surgical Associates PA accept?

Health plans from HealthPartners list Oral And Maxillofacial Surgical Associates PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oral And Maxillofacial Surgical Associates PA was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.