LAKE GENEVA ORAL AND MAXILLOFACIAL SURGERY, LTD
NPI 1063420206
Dentist - Oral and Maxillofacial Surgery in Lake Geneva, WI

Q: What is Lake Geneva Oral And Maxillofacial Surgery, Ltd's specialty?

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

Active since August 03, 2006

312 CENTER ST, LAKE GENEVA, WI 53147(262) 248-8766(262) 248-6790 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lake Geneva Oral And Maxillofacial Surgery, Ltd NPPES

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

LAKE GENEVA ORAL AND MAXILLOFACIAL SURGERY, LTD (NPI 1063420206) is a healthcare organization registered as an oral and maxillofacial surgery in Lake Geneva, Wisconsin and active in the NPI registry since August 2006. The organization lists Adam Ozment, President, as its authorized official.

NPPES Registry Identity

NPI1063420206

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameLAKE GENEVA ORAL AND MAXILLOFACIAL SURGERY, LTD

Location Address312 CENTER STLake Geneva, WI 53147-1904

Mailing Address312 Center StLake Geneva, WI 53147-1904 · (262) 248-8766 · Fax (262) 248-6790

Phone(262) 248-8766

Fax(262) 248-6790

Organization SubpartNo

Authorized OfficialAdam OzmentPresident · (262) 248-8766

Enumeration DateAugust 3, 2006

Last NPPES UpdateJuly 21, 2022

✔ NPI 1063420206 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.

312 CENTER ST, Lake Geneva, WI 53147

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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

Other Providers at the Same Location NPPES 3

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

ERNST A. CORNIELSEN D.D.S.

Dentist (Oral and Maxillofacial Surgery)

312 CENTER ST
LAKE GENEVA, WI 53147

Walworth County (262) 248-2868

DR. ROBERT CONLON D.D.S.

Dentist (Oral and Maxillofacial Surgery)

312 CENTER ST
LAKE GENEVA, WI 53147

Walworth County (262) 248-8766

DR. MATTHEW JOSEPH HEINZ DDS, MD

Dentist (Oral and Maxillofacial Surgery)

312 CENTER ST
LAKE GENEVA, WI 53147

Walworth County (262) 248-8766

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 Lake Geneva Oral And Maxillofacial Surgery, Ltd's NPI number?

The NPI number for Lake Geneva Oral And Maxillofacial Surgery, Ltd is 1063420206. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Lake Geneva Oral And Maxillofacial Surgery, Ltd located?

Lake Geneva Oral And Maxillofacial Surgery, Ltd is located at 312 Center St, Lake Geneva, WI 53147. The listed phone number is (262) 248-8766.

What is Lake Geneva Oral And Maxillofacial Surgery, Ltd's specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Geneva Oral And Maxillofacial Surgery, Ltd was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.