APPLE CREEK ORAL SURGERY, SC


Address: 2410 East Evergreen Drive, Appleton, WI 54913
Phone: 9208329500

APPLE CREEK ORAL SURGERY, SC (NPI# 1275753659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275753659
Entity Type Organization
Organization Name APPLE CREEK ORAL SURGERY, SC
Practice Address 2410 East Evergreen Drive
Appleton
WI 54913
Mailing Address 2410 E. Evergreen Drive
Appleton
WI 54913
Practice Telephone 9208329500
Mailing Telephone 9208329500
Enumeration Date 2007-04-26
Last Update Date 2020-08-22
Authorized Official Name TIMOTHY J KOLL (PRESIDENT)
Authorized Official Telephone 9208329500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0106X Dentist
Specialization: Oral and Maxillofacial Pathology
4243 WI Dental Providers

Office Location

Street Address 2410 EAST EVERGREEN DRIVE
City APPLETON
State WI
Zip Code 54913

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1457994584 Pamela J Andersen Music Therapist 245 N. Metro Drive, Appleton, WI 54913 2019-10-22
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1780116244 Alison Pelger Physician Assistant 3916 North Intertech Court, Appleton, WI 54913 2017-04-03
1316311905 Lucy Bouressa Specialist/Technologist 2105 E. Enterprise Ave, 113, Appleton, WI 54913 2015-11-19
1992189989 Brittany Reinke Physical Therapist Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 2015-07-20
1902280092 Costco Wholesale Corporation Pharmacy 5401 W Integrity Way, Grand Chute, WI 54913 2015-07-17
1942646849 Richard Anthony Mauthe Pharmacist 5401 W. Integrity Way, Neenah, WI 54913 2013-05-17
1750622163 Tonya Janelle Wilderman Pharmacist 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 2013-03-10
1295938777 Jenna Marie Kadlec Physical Therapist 3916 N. Intertech Court, Appleton, WI 54913 2007-06-11
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Taxonomy Information

Taxonomy Code 1223P0106X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Pathology

Taxonomy Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063951663 Lmg Inc Dentist W3132 Van Roy Rd, Appleton, WI 54915-3982 2017-02-15
1154403194 Timothy James Koll Dentist 2410 E. Evergreen Dr., Appleton, WI 54913-4913 2006-10-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497098255 Matthew James Midtling Dentist 840 N. 87th Streeth, Sargeant Health Center, Milwaukee, WI 53226 2013-03-30
1407057441 George Chris Panos Dentist N 67 W 31027 Club Circle East, Hartland, WI 53029 2007-05-29
1053440842 Oakpark Dental - Platteville Dentist 1250 N Water St, Platteville, WI 53818-1450 2007-03-05
1225191067 Ezedin M Sadeghi Dentist 8760 N Seneca Rd, Fox Point, WI 53217-2332 2006-12-19
1669558433 Yeshwant B Rawal Dentist 1801 W Wisconsin Ave Rm 322, Milwaukee, WI 53233-2186 2006-10-27
1225137227 Guy J Jensen Dentist 464 S Hickory St, Suite A, Fond Du Lac, WI 54935-5531 2006-09-22
1134235427 Lmg, Inc Dentist 2626 N 76th Street, Suite 101, Wauwatosa, WI 53213-1137 2006-08-21
1730628330 Lmg Inc Dentist 200 W Silver Spring Dr, Suite 310, Milwaukee, WI 53217-5059 2017-02-15
1891234498 Lmg Inc Dentist 6211 Durand Ave, Suite 202, Mount Pleasant, WI 53406-4956 2017-02-15
1790224491 Lmg Inc Dentist 2727 N Grandview Blvd, Suite 100, Waukesha, WI 53188-6100 2017-02-15
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Competitor

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City APPLETON
Zip Code 54913

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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