COMMUNITY ORAL AND MAXILLOFACIAL SURGERY, LLC
NPI 1962178970
Dentist - Oral and Maxillofacial Surgery in Milwaukee, WI

Q: What is Community Oral And Maxillofacial 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 August 19, 2021

408 W FLORIDA ST STE 105, MILWAUKEE, WI 53204(401) 401-4141 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 29, 2022, Aug 19, 2021 (2 updates tracked since 2021).

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About Community Oral And Maxillofacial Surgery, Llc NPPES

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

COMMUNITY ORAL AND MAXILLOFACIAL SURGERY, LLC (NPI 1962178970) is a healthcare organization registered as an oral and maxillofacial surgery in Milwaukee, Wisconsin and active in the NPI registry since August 2021. The organization lists Ruba Khader, Owner, as its authorized official.

NPPES Registry Identity

NPI1962178970

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameCOMMUNITY ORAL AND MAXILLOFACIAL SURGERY, LLC

Location Address408 W FLORIDA ST STE 105Milwaukee, WI 53204-1509

Mailing Address408 W Florida St Ste 105Milwaukee, WI 53204-1509 · (414) 810-1707

Phone(401) 401-4141

Organization SubpartNo

Authorized OfficialRuba KhaderOwner · (414) 810-1707

Enumeration DateAugust 19, 2021

Last NPPES UpdateNovember 29, 20222 updates tracked since enumeration

NPPES CertifiedNovember 4, 2022

✔ NPI 1962178970 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.

408 W FLORIDA ST STE 105, Milwaukee, WI 53204

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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

Other Providers at the Same Location NPPES

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

RUBA NAIM KHADER BDS

Dentist (Oral and Maxillofacial Surgery)

408 W FLORIDA ST STE 105
MILWAUKEE, WI 53204

Milwaukee County (414) 810-1707

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 Community Oral And Maxillofacial Surgery, LLC's NPI number?

The NPI number for Community Oral And Maxillofacial Surgery, LLC is 1962178970. It was assigned to this organization in the NPPES registry on August 19, 2021.

Where is Community Oral And Maxillofacial Surgery, LLC located?

Community Oral And Maxillofacial Surgery, LLC is located at 408 W Florida St Ste 105, Milwaukee, WI 53204. The listed phone number is (401) 401-4141.

What is Community Oral And Maxillofacial 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 Community Oral And Maxillofacial Surgery, LLC was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.