1. Home
  2. Directory
  3. Wisconsin
  4. Greenfield
  5. Dentist
  6. NPI Profile

WISCONSIN ORAL MEDICINE LLC
NPI 1417740465
Dentist - Oral and Maxillofacial Surgery in Greenfield, WI

Active since May 23, 2025
8405 W FOREST HOME AVE, GREENFIELD, WI 53228(443) 255-8743 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wisconsin Oral Medicine Llc NPPES

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

WISCONSIN ORAL MEDICINE LLC (NPI 1417740465) is a healthcare organization registered as an oral and maxillofacial surgery in Greenfield, Wisconsin and active in the NPI registry since May 2025. The organization lists Bhavik Desai, Owner, as its authorized official.

NPPES Registry Identity

NPI1417740465
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWISCONSIN ORAL MEDICINE LLC
Location Address8405 W FOREST HOME AVEGreenfield, WI 53228-3407
Mailing Address6400 Industrial LoopGreendale, WI 53129-2452 · (414) 858-4125 · Fax (414) 423-4134
Phone(443) 255-8743
Organization SubpartNo
Authorized OfficialBhavik DesaiOwner · (443) 255-8743
Enumeration DateMay 23, 2025
NPPES CertifiedMay 23, 2025
✔ NPI 1417740465 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.
8405 W FOREST HOME AVE, Greenfield, WI 53228
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

DENTAL SPECIALISTS OF MILWAUKEE LLC
Dentist (Periodontics)
8405 W FOREST HOME AVE
GREENFIELD, WI 53228
Milwaukee County (414) 425-7710
STEVEN MICHAEL LONGO DC
Chiropractor
8405 W FOREST HOME AVE, STE 101
GREENFIELD, WI 53228
Milwaukee County (414) 421-2225
LONGO CHIROPRACTIC, S.C.
Chiropractor
8405 W FOREST HOME AVE, SUITE 101
GREENFIELD, WI 53228
Milwaukee County (414) 421-2225
DR. ANDREW S PATTERSON DDS
Dentist (General Practice)
8405 W FOREST HOME AVE
GREENFIELD, WI 53228
Milwaukee County (414) 529-5432
DR. TIMOTHY J MCNAMARA DDS
Dentist (Periodontics)
8405 W FOREST HOME AVE, SUITE 203
GREENFIELD, WI 53228
Milwaukee County (414) 425-7710
DR. JOHN EDWARD BISSELL D.D.S., M.S.
Dentist (Periodontics)
8405 W FOREST HOME AVE
GREENFIELD, WI 53228
Milwaukee County (414) 425-7710
BHAVIK S. DESAI DMD, PHD
Dentist (Oral and Maxillofacial Surgery)
8405 W FOREST HOME AVE
GREENFIELD, WI 53228
Milwaukee County (443) 255-8743
SCOTT J WAGENKNECHT DC
Chiropractor
8405 W FOREST HOME AVE, STE 101
GREENFIELD, WI 53228
Milwaukee County (414) 423-9225

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 Wisconsin Oral Medicine LLC's NPI number?

The NPI number for Wisconsin Oral Medicine LLC is 1417740465. It was assigned to this organization in the NPPES registry on May 23, 2025.

Where is Wisconsin Oral Medicine LLC located?

Wisconsin Oral Medicine LLC is located at 8405 W Forest Home Ave, Greenfield, WI 53228. The listed phone number is (443) 255-8743.

What is Wisconsin Oral Medicine 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 Wisconsin Oral Medicine LLC was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.