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ORAL FACIAL AND PERIODONTAL SURGERY LLC
NPI 1144772906
Dentist - Oral and Maxillofacial Surgery in Mt Pleasant, WI

Active since October 27, 2016
13200 GLOBE DR STE 108, MT PLEASANT, WI 53177(262) 886-0147 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 30, 2024, Oct 27, 2016 (2 updates tracked since 2016).

About Oral Facial And Periodontal Surgery Llc NPPES

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

ORAL FACIAL AND PERIODONTAL SURGERY LLC (NPI 1144772906) is a healthcare organization registered as an oral and maxillofacial surgery in Mt Pleasant, Wisconsin and active in the NPI registry since October 2016. The organization lists Mary Ballard, Owner, as its authorized official.

NPPES Registry Identity

NPI1144772906
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL FACIAL AND PERIODONTAL SURGERY LLC
Location Address13200 GLOBE DR STE 108Mt Pleasant, WI 53177-1606
Mailing Address13200 Globe Dr Ste 108Mt Pleasant, WI 53177-1606 · (262) 886-0147 · Fax (262) 886-0570
Phone(262) 886-0147
Organization SubpartNo
Authorized OfficialMary BallardOwner · (262) 886-0147
Enumeration DateOctober 27, 2016
Last NPPES UpdateJuly 21, 20252 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
✔ NPI 1144772906 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.
13200 GLOBE DR STE 108, Mt Pleasant, WI 53177
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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

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

DR. MARY L BALLARD DDS
Dentist (Oral and Maxillofacial Surgery)
13200 GLOBE DR STE 108
MT PLEASANT, WI 53177
Racine County (262) 886-0147

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 Facial And Periodontal Surgery LLC's NPI number?

The NPI number for Oral Facial And Periodontal Surgery LLC is 1144772906. It was assigned to this organization in the NPPES registry on October 27, 2016.

Where is Oral Facial And Periodontal Surgery LLC located?

Oral Facial And Periodontal Surgery LLC is located at 13200 Globe Dr Ste 108, Mt Pleasant, WI 53177. The listed phone number is (262) 886-0147.

What is Oral Facial And Periodontal Surgery LLC'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 Oral Facial And Periodontal Surgery LLC was last updated on July 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.