CENTRAL WISCONSIN ORAL AND FACIAL SURGERY, LLC
NPI 1477065787
Dentist - Oral and Maxillofacial Surgery in Antigo, WI

Q: What is Central Wisconsin Oral And Facial Surgery, LLC's specialty?

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

Active since October 26, 2017

438 EDISON ST, ANTIGO, WI 54409(715) 432-4565 Get Directions Write a Review

NPPES record last updated: October 26, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Central Wisconsin Oral And Facial Surgery, Llc NPPES

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

CENTRAL WISCONSIN ORAL AND FACIAL SURGERY, LLC (NPI 1477065787) is a healthcare organization registered as an oral and maxillofacial surgery in Antigo, Wisconsin and active in the NPI registry since October 2017. The organization lists Paulette Wright, Manager, as its authorized official.

NPPES Registry Identity

NPI1477065787

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameCENTRAL WISCONSIN ORAL AND FACIAL SURGERY, LLC

Location Address438 EDISON STAntigo, WI 54409-1845

Mailing Address968 Ribaut Rd Ste 3Beaufort, SC 29902-8002 · (843) 525-0900 · Fax (843) 525-0380

Phone(715) 432-4565

Organization SubpartNo

Authorized OfficialPaulette WrightManager · (843) 525-0900

Enumeration DateOctober 26, 2017

✔ NPI 1477065787 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 · 5831-15

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.

438 EDISON ST, Antigo, WI 54409

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 ›

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 Central Wisconsin Oral And Facial Surgery, LLC's NPI number?

The NPI number for Central Wisconsin Oral And Facial Surgery, LLC is 1477065787. It was assigned to this organization in the NPPES registry on October 26, 2017.

Where is Central Wisconsin Oral And Facial Surgery, LLC located?

Central Wisconsin Oral And Facial Surgery, LLC is located at 438 Edison St, Antigo, WI 54409. The listed phone number is (715) 432-4565.

What is Central Wisconsin Oral And Facial Surgery, LLC's specialty?

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

What insurance does Central Wisconsin Oral And Facial Surgery, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Central Wisconsin Oral And Facial Surgery, LLC 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 Central Wisconsin Oral And Facial Surgery, LLC was last updated on October 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.