Greater Milwaukee Oral Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5910-15 Issued in WI

Legal business name

GREATER MILWAUKEE ORAL SURGERY, LLC

Practice address

6800 West Layton Avenue
Greenfield, WI 53220-4364

Phone

(414) 281-3344

Fax

(414) 281-1080

NPI assigned

Aug 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Robert John Goeckermann, DDS

Title

Owner

Phone

(414) 281-3344

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1720569783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 WEST LAYTON AVENUE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204364",
            "telephone_number": "414-281-3344",
            "fax_number": "414-281-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 WEST LAYTON AVENUE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204364",
            "telephone_number": "414-281-3344",
            "fax_number": "414-281-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MILWAUKEE ORAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "GOECKERMANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-281-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "5910-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalana L Graham, LCSW
• Erika Grahovac
• Lindsey Marie Gram, RN, BSN
• Glenn E. Graves, M.D.
• Kimberly Gray, FNP-BC
• Greater Milwaukee Otolaryngology LLC
• Fauzia Nimako Green
• Greenfield Optimal Dental Care LLC
• Greenfield School District
• Miranda Greenwood, LPC

• Oral and Maxillofacial Surgery (Dentist) in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.