WISCONSIN ORAL SURGERY LLC
NPI 1679132815
Dentist - Oral and Maxillofacial Pathology in West Allis, WI

Active since June 11, 2019
10401 W LINCOLN AVE STE 101, WEST ALLIS, WI 53227(414) 327-4130 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wisconsin Oral Surgery Llc NPPES

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

WISCONSIN ORAL SURGERY LLC (NPI 1679132815) is a healthcare organization registered as an oral and maxillofacial pathology in West Allis, Wisconsin and active in the NPI registry since June 2019. The organization lists Robert Trettin, President, as its authorized official.

NPPES Registry Identity

NPI1679132815
Entity TypeOrganization
Primary Taxonomy1223P0106X
Legal Business NameWISCONSIN ORAL SURGERY LLC
Location Address10401 W LINCOLN AVE STE 101West Allis, WI 53227-1255
Mailing Address401 Edgewater Pl Ste 430Wakefield, MA 01880-6225 · (781) 213-0240
Organization SubpartYesParent: Advanced Dental Specialists, Llc
Authorized OfficialRobert TrettinPresident · (414) 357-2040
Enumeration DateJune 11, 2019
NPI 1679132815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
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.

Also ListedDentistTaxonomy 122300000X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
10401 W LINCOLN AVE STE 101, West Allis, WI 53227

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

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 Surgery LLC's NPI number?

The NPI number for Wisconsin Oral Surgery LLC is 1679132815. It was assigned to this organization in the NPPES registry on June 11, 2019.

Where is Wisconsin Oral Surgery LLC located?

Wisconsin Oral Surgery LLC is located at 10401 W Lincoln Ave Ste 101, West Allis, WI 53227. The listed phone number is (414) 327-4130.

What is Wisconsin Oral Surgery LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Wisconsin Oral Surgery LLC was last updated on June 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.