David M Angell, DDS
Individual provider Active NPI Oral and Maxillofacial Pathology Dentistry · Oshkosh, WI
NPI 1811077449 · NPPES record last updated Sep 5, 2007
Key facts
- NPI
- 1811077449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Pathology Dentistry 1223P0106X
- License
- 5001199 (WI)
- Practice address
- 2700 W 9TH Ave
Suite 103
Oshkosh, WI 54904-7247 - Phone
- (920) 236-1680
- Fax
- (920) 235-8101
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5001199 | WI | MD | Oral and Maxillofacial Pathology Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 5001199 | WI | Yes |
Addresses
Primary practice location
2700 W 9TH Ave
Suite 103
Oshkosh, WI 54904-7247
Mailing address
1995 Hickory LN
Oshkosh, WI 54901-2570
Phone (920) 235-3448
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70010800 | Medicaid | WI | |
| 0040023890 | Other | BLUE CROSS BLUE SHIELD |
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- Angell Oral Surgery Associates LTD
- Gary Ankarlo
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- Lisa R Anthony
- Liv Arafat
- Misbah Arif
All providers in Oshkosh, WI · Oral and Maxillofacial Pathology Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.