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

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: July 19, 2026.

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
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

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.

Dentist (Oral and Maxillofacial Surgery)
312 CENTER ST
LAKE GENEVA, WI 53147
Dentist (Oral and Maxillofacial Surgery)
312 CENTER ST
LAKE GENEVA, WI 53147
Dentist (Oral and Maxillofacial Surgery)
312 CENTER ST
LAKE GENEVA, WI 53147

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063420206, enumerated as an "organization" on August 03, 2006.

The provider is located at 312 CENTER ST LAKE GENEVA, WI 53147 and the phone number is (262) 248-8766.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.