NORTHWOODS ORAL AND MAXILLOFACIAL SURGERY SC
NPI 1346460441
Dentist in Minocqua, WI

Q: What is Northwoods Oral And Maxillofacial Surgery Sc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since April 30, 2007

9762 WEST LAKE AVENUE, MINOCQUA, WI 54548(715) 358-3321 Get Directions Write a Review

NPPES record last updated: September 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Northwoods Oral And Maxillofacial Surgery Sc NPPES

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

NORTHWOODS ORAL AND MAXILLOFACIAL SURGERY SC (NPI 1346460441) is a healthcare organization registered as a dentist in Minocqua, Wisconsin and active in the NPI registry since April 2007. The organization lists John Michael Kosmen, Dentist, as its authorized official.

NPPES Registry Identity

NPI1346460441

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameNORTHWOODS ORAL AND MAXILLOFACIAL SURGERY SC

Location Address9762 WEST LAKE AVENUEMinocqua, WI 54548

Mailing AddressPo Box 1027Minocqua, WI 53548 · (715) 358-3321

Phone(715) 358-3321

Organization SubpartNo

Authorized OfficialJohn Michael KosmenDentist · (715) 358-3321

Enumeration DateApril 30, 2007

Last NPPES UpdateSeptember 17, 2007

✔ NPI 1346460441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WI · 4694

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

9762 WEST LAKE AVENUE, Minocqua, WI 54548

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Other Identifiers 3

Medicare UPINU56732

Medicare ID-Type Unspecified79134

Medicaid33727700WI

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.

JOHN MICHAEL KOSMEN DDS

Dentist

9762 WEST LAKE AVENUE
MINOCQUA, WI 54548

Oneida County (715) 358-3321

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 Northwoods Oral And Maxillofacial Surgery Sc's NPI number?

The NPI number for Northwoods Oral And Maxillofacial Surgery Sc is 1346460441. It was assigned to this organization in the NPPES registry on April 30, 2007.

Where is Northwoods Oral And Maxillofacial Surgery Sc located?

Northwoods Oral And Maxillofacial Surgery Sc is located at 9762 West Lake Avenue, Minocqua, WI 54548. The listed phone number is (715) 358-3321.

What is Northwoods Oral And Maxillofacial Surgery Sc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Northwoods Oral And Maxillofacial Surgery Sc was last updated on September 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.