WHITE OAK DENTAL
NPI 1013409002
Clinic/Center - Oral and Maxillofacial Surgery in Oak Creek, WI

Q: What is Wisconsin Oral & Maxillofacial Surgery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Active since June 05, 2018

2603 W RAWSON AVE STE 123, OAK CREEK, WI 53154(914) 325-5672 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About White Oak Dental NPPES

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

WHITE OAK DENTAL (NPI 1013409002) is a healthcare organization registered as an oral and maxillofacial surgery in Oak Creek, Wisconsin and active in the NPI registry since June 2018. The organization lists Ejlal Alalawi, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1013409002

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameWISCONSIN ORAL & MAXILLOFACIAL SURGERY LLC

Location Address2603 W RAWSON AVE STE 123Oak Creek, WI 53154-8422

Mailing Address124 Legend WayWales, WI 53183-9539 · (914) 325-5672

Phone(914) 325-5672

Organization SubpartNo

Authorized OfficialEjlal AlalawiOwner/provider · (914) 325-5672

Enumeration DateJune 5, 2018

✔ NPI 1013409002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities

Taxonomy Code261QS0112X

Definition

An oral and maxillofacial surgery clinic or center 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.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

2603 W RAWSON AVE STE 123, Oak Creek, WI 53154

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Other Names 1

Doing Business AsWhite Oak Dental

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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.

NEVAEH GUTIERREZ

Behavior Technician

2603 W RAWSON AVE STE 123
OAK CREEK, WI 53154

Milwaukee County (888) 754-0398

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 Wisconsin Oral & Maxillofacial Surgery LLC's NPI number?

The NPI number for Wisconsin Oral & Maxillofacial Surgery LLC is 1013409002. It was assigned to this organization in the NPPES registry on June 5, 2018. The provider is doing business as White Oak Dental.

Where is Wisconsin Oral & Maxillofacial Surgery LLC located?

Wisconsin Oral & Maxillofacial Surgery LLC is located at 2603 W Rawson Ave Ste 123, Oak Creek, WI 53154. The listed phone number is (914) 325-5672.

What is Wisconsin Oral & Maxillofacial Surgery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

What insurance does Wisconsin Oral & Maxillofacial Surgery LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Wisconsin Oral & Maxillofacial Surgery LLC 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 Wisconsin Oral & Maxillofacial Surgery LLC was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.