Organization Active NPI

Winnebago Oral Surgery, S.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fond Du Lac, WI
National Provider Identifier
1396864229
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
WINNEBAGO ORAL SURGERY, S.C.
Practice address
155 N. Rolling Meadows Dr.
Fond Du Lac, WI 54937-9482
Phone
(920) 921-5001
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Dr. Christopher S. McFarlane, D.D.S.
Title
President
Phone
(920) 231-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

155 N. Rolling Meadows Dr.
Fond Du Lac, WI 54937-9482

Mailing address

1875 West Pointe Dr.
Oshkosh, WI 54902
Phone (920) 231-4600

National Provider Directory

National Provider Directory

Locations

824 S Main St
Fond du Lac, WI 54935
Phone (920) 251-8216

155 N Rolling Meadows Dr
Fond du Lac, WI 54937
Phone (920) 921-5001

1875 West Pointe Dr
Oshkosh, WI 54902
Phone (920) 231-4600

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1396864229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 WEST POINTE DR.",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "54902",
            "telephone_number": "920-231-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N. ROLLING MEADOWS DR.",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549379482",
            "telephone_number": "920-921-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNEBAGO ORAL SURGERY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "MCFARLANE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-231-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.