Oral And Maxillofacial Surgical Associates Pa

Specialty details in registry · Superior, WI

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At a glance

3712 Tower Ave, Superior, WI 54880-5567

NPPES record updated Feb 6, 2025. Public records can lag behind changes at a practice.

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Practice location

3712 Tower Ave Suite E
Superior, WI 54880-5567

Professional details: NPI, taxonomy & registry record

NPI1003900994

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 1223S0112X
Enumeration date: Oct 3, 2006
Record updated: Feb 6, 2025

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

1223S0112X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3712 Tower Ave
Suite E
Superior, WI 54880-5567

Phone: (715) 392-9846
Fax: (715) 392-7040

Mailing address

3712 TOWER AVE
SUITE E
SUPERIOR, WI 548805567

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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