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PREMIER ORAL & MAXILLOFACIAL SURGERY S.C.
NPI 1992806269
Dentist - Oral and Maxillofacial Surgery in Janesville, WI

Active since September 26, 2006
1602 N RANDALL AVE, JANESVILLE, WI 53545(608) 756-8744(608) 756-5344 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Premier Oral & Maxillofacial Surgery S.c. NPPES

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

PREMIER ORAL & MAXILLOFACIAL SURGERY S.C. (NPI 1992806269), doing business as Southern Wisconsin Oral & Maxillofacial Surgery S.c., is a healthcare organization registered as an oral and maxillofacial surgery in Janesville, Wisconsin and active in the NPI registry since September 2006. The organization lists Crystal M Dieter, Manager, as its authorized official.

NPPES Registry Identity

NPI1992806269
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePREMIER ORAL & MAXILLOFACIAL SURGERY S.C.
Location Address1602 N RANDALL AVEJanesville, WI 53545-1124
Mailing Address1602 N Randall AveJanesville, WI 53545-1124 · (608) 756-8744 · Fax (608) 756-5344
Phone(608) 756-8744
Fax(608) 756-5344
Organization SubpartNo
Authorized OfficialCrystal M DieterManager · (608) 756-8744
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJune 11, 2012
✔ NPI 1992806269 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 · 5E10250
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.

1602 N RANDALL AVE, Janesville, WI 53545
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Other Names 1

Former Legal Business NameSouthern Wisconsin Oral & Maxillofacial Surgery S.c.

Other Identifiers 1

Medicare ID-Type Unspecified76580WI

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 MercyCare Health Plans.Insurance ›

Other Providers at the Same Location NPPES 4

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

DR. JASON JOSEPH SWANTEK D.D.S.
Dentist
1602 N RANDALL AVE
JANESVILLE, WI 53545
Rock County (608) 756-8744
DR. TERRY D CISLER DDS
Dentist (Oral and Maxillofacial Surgery)
1602 N RANDALL AVE
JANESVILLE, WI 53545
Rock County (608) 756-8744
KEVIN C GAMS D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1602 N RANDALL AVE
JANESVILLE, WI 53545
Rock County (608) 756-8744
DR. RICHARD D MEISTER DDS
Dentist (Oral and Maxillofacial Surgery)
1602 N RANDALL AVE
JANESVILLE, WI 53545
Rock County (608) 756-8744

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 Premier Oral & Maxillofacial Surgery S.C.'s NPI number?

The NPI number for Premier Oral & Maxillofacial Surgery S.C. is 1992806269. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider was formerly known as Southern Wisconsin Oral & Maxillofacial Surgery S.C..

Where is Premier Oral & Maxillofacial Surgery S.C. located?

Premier Oral & Maxillofacial Surgery S.C. is located at 1602 N Randall Ave, Janesville, WI 53545. The listed phone number is (608) 756-8744.

What is Premier Oral & Maxillofacial Surgery S.C.'s specialty?

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

What insurance does Premier Oral & Maxillofacial Surgery S.C. accept?

Health plans from MercyCare Health Plans list Premier Oral & Maxillofacial Surgery S.C. 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 Premier Oral & Maxillofacial Surgery S.C. was last updated on June 11, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.