NORTHERN ORAL & MAXILLOFACIAL SURGEONS, PA


Address: 1419 Beaser Ave, Ashland, WI 54806-3616
Phone: 7156822660

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 38393500 05

Other Provider IDs and Locations

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

Office Location

Street Address 1419 BEASER AVE
City ASHLAND
State WI
Zip Code 54806-3616

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235154493 Thomas C. Lovlien Dentist 1419 Beaser Ave, Ashland, WI 54806-3616 2006-07-12

Providers in the same zip code

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 Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City ASHLAND
Zip Code 54806

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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