KENOSHA ORAL SURGERY, S.C.
NPI 1710160486
Dentist - Oral and Maxillofacial Surgery in Kenosha, WI
NPI Status: Active since December 17, 2007
Contact Information
6707 39TH AVE
KENOSHA, WI
ZIP 53142
Phone: (262) 658-3559
Fax: (262) 658-0276
- Organization
- Dentist
- Oral and Maxillofacial Surgery
About KENOSHA ORAL SURGERY, S.C.
This page provides the complete NPI Profile along with additional information for Kenosha Oral Surgery, S.c., a provider established in Kenosha, Wisconsin operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1710160486 assigned on December 2007. The practitioner's primary taxonomy code is 1223S0112X with license number 4998015 (WI). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Dale Willoughby Dds (President)
- NPI
- 1710160486
- Provider Name
- KENOSHA ORAL SURGERY, S.C.
- Entity Type
- Organization
- Location Address
- 6707 39TH AVE KENOSHA, WI 53142
- Location Phone
- (262) 658-3559
- Location Fax
- (262) 658-0276
- Mailing Address
- 4707 WASHINGTON RD KENOSHA, WI 53144
- Mailing Phone
- (262) 658-3559
- Mailing Fax
- (262) 658-0276
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-17-2007
- Last Update Date
- 06-02-2022
- Code Navigator
A dentist like Kenosha Oral Surgery, S.c. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- 4998015
- License State
- WI
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1710160486, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710160486, enumerated as an "organization" on December 17, 2007.
The provider is located at 6707 39TH AVE KENOSHA, WI 53142 and the phone number is (262) 658-3559.
Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.
