GREATER MILWAUKEE ORAL SURGERY, LLC
NPI 1720569783
Dentist - Oral and Maxillofacial Surgery in Greenfield, WI

Active since August 27, 2018
6800 WEST LAYTON AVENUE, GREENFIELD, WI 53220(414) 281-3344(414) 281-1080 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Aug 27, 2018 (2 updates tracked since 2018).

About Greater Milwaukee Oral Surgery, Llc NPPES

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

GREATER MILWAUKEE ORAL SURGERY, LLC (NPI 1720569783) is a healthcare organization registered as an oral and maxillofacial surgery in Greenfield, Wisconsin and active in the NPI registry since August 2018. The organization lists Robert John Goeckermann, Owner, as its authorized official.

NPPES Registry Identity

NPI1720569783
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGREATER MILWAUKEE ORAL SURGERY, LLC
Location Address6800 WEST LAYTON AVENUEGreenfield, WI 53220-4364
Mailing Address6800 West Layton AvenueGreenfield, WI 53220-4364 · (414) 281-3344 · Fax (414) 281-1080
Fax(414) 281-1080
Organization SubpartNo
Authorized OfficialRobert John GoeckermannOwner · (414) 281-3344
Enumeration DateAugust 27, 2018
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPI 1720569783 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 · 5910-15
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.
6800 WEST LAYTON AVENUE, Greenfield, WI 53220

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

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 Greater Milwaukee Oral Surgery, LLC's NPI number?

The NPI number for Greater Milwaukee Oral Surgery, LLC is 1720569783. It was assigned to this organization in the NPPES registry on August 27, 2018.

Where is Greater Milwaukee Oral Surgery, LLC located?

Greater Milwaukee Oral Surgery, LLC is located at 6800 West Layton Avenue, Greenfield, WI 53220. The listed phone number is (414) 281-3344.

What is Greater Milwaukee Oral Surgery, 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 Greater Milwaukee Oral Surgery, LLC was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.