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ELMBROOK ORAL & MAXILLOFACIAL SURGERY ASSOC., S.C.
NPI 1366586224
Dentist - Oral and Maxillofacial Surgery in Brookfield, WI

Active since February 16, 2007
12720 W NORTH AVE, BROOKFIELD, WI 53005(262) 784-0053(262) 784-0757 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Elmbrook Oral & Maxillofacial Surgery Assoc., S.c. NPPES

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

ELMBROOK ORAL & MAXILLOFACIAL SURGERY ASSOC., S.C. (NPI 1366586224) is a healthcare organization registered as an oral and maxillofacial surgery in Brookfield, Wisconsin and active in the NPI registry since February 2007. The organization lists Robert A. Wallock, President, as its authorized official.

NPPES Registry Identity

NPI1366586224
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameELMBROOK ORAL & MAXILLOFACIAL SURGERY ASSOC., S.C.
Location Address12720 W NORTH AVEBrookfield, WI 53005-4637
Mailing Address12720 W North AveBrookfield, WI 53005-4637 · (262) 784-0053 · Fax (262) 784-0757
Phone(262) 784-0053
Fax(262) 784-0757
Organization SubpartNo
Authorized OfficialRobert A. WallockPresident · (262) 784-0053
Enumeration DateFebruary 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1366586224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WI · 4138-015
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.
12720 W NORTH AVE, Brookfield, WI 53005
Open in Google Maps ↗

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.Insurance ›

Other Providers at the Same Location NPPES 17

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

ERIN RINDERLE MSW, APSW
Social Worker
12720 W NORTH AVE, BUILDING B, SUITE 200
BROOKFIELD, WI 53005
Waukesha County (262) 785-1500
DR. JAMES E WHITE MD
General Practice
12720 W NORTH AVE
BROOKFIELD, WI 53005
Waukesha County (262) 785-9320
DR. EDWARD W. HOFFMANN D.D.S.
Dentist
12720 W NORTH AVE
BROOKFIELD, WI 53005
Waukesha County (262) 784-4026
SARAH NESS LPC, CSAC
Counselor (Mental Health)
12720 W NORTH AVE, BLDG B STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 785-1500
REBEKAH ELIZABETH REITZ LCSW
Social Worker (Clinical)
12720 W NORTH AVE
BROOKFIELD, WI 53005
Waukesha County (262) 785-1500
LISA ANN JOHNSON LCSW
Social Worker (Clinical)
12720 W NORTH AVE
BROOKFIELD, WI 53005
Waukesha County (262) 785-1500
ERIN RACHWAL LCSW
Social Worker (Clinical)
12720 W NORTH AVE, SUITE B-200
BROOKFIELD, WI 53005
Waukesha County (262) 785-1500
BOHL AND RACE ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
12720 W NORTH AVE
BROOKFIELD, WI 53005
Waukesha County (262) 784-6700

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 Elmbrook Oral & Maxillofacial Surgery Assoc., S.C.'s NPI number?

The NPI number for Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. is 1366586224. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. located?

Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. is located at 12720 W North Ave, Brookfield, WI 53005. The listed phone number is (262) 784-0053.

What is Elmbrook Oral & Maxillofacial Surgery Assoc., S.C.'s specialty?

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

What insurance does Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. 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 Elmbrook Oral & Maxillofacial Surgery Assoc., S.C. 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 6 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.