NORTHERN ORAL & MAXILLOFACIAL SURGEONS, PA (NPI# 1013068691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013068691 |
Entity Type | Organization |
Organization Name | NORTHERN ORAL & MAXILLOFACIAL SURGEONS, PA |
Practice Address |
1419 Beaser Ave Ashland WI 54806-3616 |
Practice Telephone | 7156822660 |
Practice Fax Number | 7156824882 |
Mailing Telephone | 7156822660 |
Mailing Fax Number | 7156824882 |
Enumeration Date | 2007-01-12 |
Last Update Date | 2007-12-13 |
Authorized Official Name | CHARLES R BABST (PRESIDENT) |
Authorized Official Telephone | 2187228377 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 38393500 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588715163 | Northern Oral & Maxillofacial Surgeons, Pa | Dentist | 750 E 34th St, Hibbing, MN 55746-2341 | 2007-01-12 |
1457401820 | Northern Oral & Maxillofacial Surgeons, Pa | Dentist | 3617 W Arrowhead Rd, Duluth, MN 55811-4046 | 2007-01-10 |
Street Address |
1419 BEASER AVE |
City | ASHLAND |
State | WI |
Zip Code | 54806-3616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235154493 | Thomas C. Lovlien | Dentist | 1419 Beaser Ave, Ashland, WI 54806-3616 | 2006-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
1922479195 | Alexa M Honstad | Registered Nurse | Memorial Medical Center, Inc, 1615 Maple Lane, Ashland, WI 54806 | 2015-10-14 |
1982032728 | Noel Hong | Pharmacist | 1800 Us Highway 2, Ashland, WI 54806 | 2013-10-14 |
1588909402 | Kelli Danielle Culver | Registered Nurse | 216 3rd St W Ste 201, Ashland, WI 54806 | 2012-12-04 |
1114191756 | Karen Keyes | Occupational Therapist | 1635 Maple Lane, Behavioral Health Services, Ashland, WI 54806 | 2008-04-15 |
1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
1770669269 | Laura Anton Ia Nitsche | Speech-Language Pathologist | 618 Beaser Avenue, Ashland, WI 54806 | 2006-10-27 |
1104915222 | Patrick Alan Hickman | Chiropractor | 400 East Lakeshore Drive, Ashland, WI 54806 | 2006-10-12 |
1386732113 | Janet Lee Sternat | Physical Therapist | 618 Beaser Ave, Cesa #12, Ashland, WI 54806 | 2006-10-10 |
1295743193 | Ashland Dental Clinic Inc | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-08-04 |
Find all providers in zip 54806 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437258365 | Michael D. Couchot | Dentist | 2844 Carter Ave, Ashland, KY 41101-1917 | 2006-09-21 |
1588668123 | William C Donlon | Dentist | 452 Thimbleberry Ln, Ashland, OR 97520-1213 | 2005-06-10 |
1003388117 | Drs Krajekian,brock & Henderson Inc | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101-2807 | 2018-12-31 |
1710158464 | Winfield Clinton John IIi | Dentist | 2301 Lexington Ave, Suite 120, Ashland, KY 41101-2873 | 2008-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720569783 | Greater Milwaukee Oral Surgery, L.L.C. | Dentist | 4811 S 76th St Ste 304, Greenfield, WI 53220-4350 | 2018-08-27 |
1124516893 | Baycare Clinic, LLP | Dentist | 636 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2018-04-27 |
1477065787 | Central Wisconsin Oral and Facial Surgery, LLC | Dentist | 438 Edison St, Antigo, WI 54409-1845 | 2017-10-26 |
1497266910 | Donald Ervin Linneman | Dentist | Center 4820 N Sherman Road, Winnebago Correction Center, Drug Abuse Correctional, Winnebago, WI 54985-0036 | 2017-10-24 |
1063869485 | Tyler Kalmuck | Dentist | 3637 Wilgus Ave, Sheboygan, WI 53081-3050 | 2016-05-16 |
1952717753 | Judson Charles Smith | Dentist | 2323 N Mayfair Rd Ste 102, Milwaukee, WI 53226 | 2014-07-01 |
1073930459 | Paul Pamula | Dentist | 1925 S Green Bay Rd, Mount Pleasant, WI 53406-4654 | 2014-03-24 |
1326473927 | Lake Geneva Dental Care, LLC | Dentist | 1454 E Huebbe Pkwy, Beloit, WI 53511-1714 | 2013-09-13 |
1093154601 | Matthew D Reiland | Dentist | 2921 Landmark Pl Ste 100, Madison, WI 53713-4248 | 2013-06-17 |
1922364363 | Ell Louis Lee | Dentist | 2361 Lost Dauphin Rd, De Pere, WI 54115-9165 | 2012-04-10 |
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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.