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APPLE CREEK ORAL SURGERY, SC
NPI 1275753659
Dentist - Oral and Maxillofacial Pathology in Appleton, WI

Active since April 26, 2007
2410 EAST EVERGREEN DRIVE, APPLETON, WI 54913(920) 832-9500 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Apple Creek Oral Surgery, Sc NPPES

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

APPLE CREEK ORAL SURGERY, SC (NPI 1275753659) is a healthcare organization registered as an oral and maxillofacial pathology in Appleton, Wisconsin and active in the NPI registry since April 2007. The organization lists Timothy J Koll, President, as its authorized official.

NPPES Registry Identity

NPI1275753659
Entity TypeOrganization
Primary Taxonomy1223P0106X
Legal Business NameAPPLE CREEK ORAL SURGERY, SC
Location Address2410 EAST EVERGREEN DRIVEAppleton, WI 54913
Mailing Address2410 E. Evergreen DriveAppleton, WI 54913 · (920) 832-9500
Phone(920) 832-9500
Organization SubpartNo
Authorized OfficialTimothy J KollPresident · (920) 832-9500
Enumeration DateApril 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1275753659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in WI · 4243
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
2410 EAST EVERGREEN DRIVE, Appleton, WI 54913
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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

Accepted Insurance

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

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 Apple Creek Oral Surgery, Sc's NPI number?

The NPI number for Apple Creek Oral Surgery, Sc is 1275753659. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Apple Creek Oral Surgery, Sc located?

Apple Creek Oral Surgery, Sc is located at 2410 East Evergreen Drive, Appleton, WI 54913. The listed phone number is (920) 832-9500.

What is Apple Creek Oral Surgery, Sc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

What insurance does Apple Creek Oral Surgery, Sc accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Apple Creek Oral Surgery, Sc 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 Apple Creek Oral Surgery, Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.