Lloyd H. Anseth, DDS

Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Stevens Point, WI

NPI 1720169824 · NPPES record last updated Mar 15, 2011

Key facts

NPI
1720169824
Entity type
Individual (NPI type 1)
Primary specialty
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
License
6338 (WI)
Practice address
3426 E Maria Dr
Medical Arts Plaza
Stevens Point, WI 54481-1332
Phone
(715) 345-1700
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1759NDMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Marshfield Clinic Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 1759 ND
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 6338 WI Yes

Addresses

Primary practice location

3426 E Maria Dr
Medical Arts Plaza
Stevens Point, WI 54481-1332

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other identifiers

IdentifierTypeStateIssuer
APPRMedicaidWI

Other providers in Stevens Point, WI

All providers in Stevens Point, WI · Oral and Maxillofacial Surgery (Dentist) in Wisconsin

Sources for this page

Verify at the official NPI Registry.