Milwaukee Oral Surgery & Implants LTD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MILWAUKEE ORAL SURGERY & IMPLANTS LTD

Practice address

2323 N Mayfair Rd
#102
Milwaukee, WI 53226

Phone

(414) 257-1161

Fax

(414) 257-0194

NPI assigned

May 30, 2006

Last updated

Jun 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Andrews

Title

Office Manager

Phone

(414) 257-1161

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taylor Louise Delaura, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Milwaukee, WI
  • NPI 1588154934
  NPD
• Brittany Frisque, NP-C

  • Nurse Practitioner
  • Mequon, WI
  • NPI 1003292269
  NPD
• John E Darling, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Glendale, WI
  • NPI 1427156330
  NPD (past)
• Omid Hadj, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Wauwatosa, WI
  • NPI 1356090039
  NPD (past)
• Matthew James Midtling, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Milwaukee, WI
  • NPI 1497098255
  NPD (past)
• Bret Waligora, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Milwaukee, WI
  • NPI 1467832782
  NPD (past)
• Robert A. Wallock

  • Oral and Maxillofacial Surgery (Dentist)
  • Brookfield, WI
  • NPI 1952599573
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1972550234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N MAYFAIR RD",
            "address_2": "#102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261506",
            "telephone_number": "414-257-1161",
            "fax_number": "414-257-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N MAYFAIR RD",
            "address_2": "#102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "414-257-1161",
            "fax_number": "414-257-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE ORAL SURGERY & IMPLANTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "414-257-1161"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38391000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milwaukee Midwest Medical Lab
• Milwaukee Moms Prenatal Care
• Milwaukee Nephrologists, S.C.
• Milwaukee Neurological Institute, SC
• Milwaukee Oncology Consultants Inc
• Milwaukee Orthopaedic Group LTD
• Milwaukee Orthopedic Specialists, S.C.
• Milwaukee Orthpaedic Group LTD
• Milwaukee Pain Treatment Services
• Milwaukee Pain Treatment Services SC

• Oral and Maxillofacial Surgery (Dentist) in Milwaukee, WI
• Providers in Milwaukee, 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 Jun 5, 2018; 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.