Oral Surgery Assoc LTD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

5000111-015 Issued in WI

Legal business name

ORAL SURGERY ASSOC LTD

Practice address

464 South Hickory Street
Suite a
Fond Du Lac, WI 54935

Phone

(920) 923-0111

Fax

(920) 923-0366

NPI assigned

Aug 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Guy K Jensen, DDS MS

Title

Owner

Phone

(920) 923-0111

Specialties & licenses 2

Addresses

Tax ID family

Oral Surgery Assoc LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oral Surgery Associates LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • West Bend, WI
  • NPI 1235466988
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Guy J Jensen, D.D.S., M.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Fond Du Lac, WI
  • NPI 1225137227
  NPD (past)
• Roger L Zimmerman, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Fond Du Lac, WI
  • NPI 1043319056
  NPD (past)
• Susie I Lin, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Nashville, TN
  • NPI 1710025671
  NPD (past)
• David Peter Schmidt, DDS,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Lexington, KY
  • NPI 1346403235
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013020866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 SOUTH HICKORY STREET",
            "address_2": "SUITE A",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-923-0111",
            "fax_number": "920-923-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 SOUTH HICKORY STREET",
            "address_2": "SUITE A",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-923-0111",
            "fax_number": "920-923-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY ASSOC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-923-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WI",
            "license": "5001856-015",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WI",
            "license": "5000111-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Olig
• John F. Olson, P.T.
• Nora L Olson, M.D.
• Susan M Olszewski, FNP-BC APNP
• Optum Behavioral Care of Colorado, P.C.
• Morgan Jeane Orsburne, APNP
• Orthopedic & Sports Medicine Specialists of Green Bay, SC
• Marne Kelley Osborn
• Jacklyn R Osborne, NP
• Muhammad Abdullah Osto, MD

• Oral & Maxillofacial Surgery (D.M.D.) in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.