Great Lakes Oral & Maxillofacial Surgery, P.a. is a Oral and Maxillofacial Dental Clinic in Hudson, Wisconsin. It is located at 1200 Crest View Dr Ste 1, Hudson, WI and its contact number is 715-381-7070. The authorized person for Great Lakes Oral & Maxillofacial Surgery, P.a. is Dr. Richard William Brunton
who is President of the clinic and their contact number is 651-351-1010. The primary license number for Great Lakes Oral & Maxillofacial Surgery, P.a. is 4482 (Oral and Maxillofacial Surgery) in Wisconsin. Great Lakes Oral & Maxillofacial Surgery, P.a. Clinic deals with 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.
Complete Clinic Profile:
Great Lakes Oral & Maxillofacial Surgery, P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Great Lakes Oral & Maxillofacial Surgery, P.a.
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
1200 Crest View Dr Ste 1, Hudson, Wisconsin, 54016-9391
Phone:
715-381-7070
Fax:
715-381-0383
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Richard William Brunton
Position:
President
Contact Number:
651-351-1010
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Great Lakes Oral & Maxillofacial Surgery, P.a. clinic are as mentioned below.
NPI Number:
1902116288
NPI Enumeration Date:
20 Oct, 2010
NPI Last Update On:
20 Oct, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Great Lakes Oral & Maxillofacial Surgery, P.a. are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
4482
Wisconsin
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Great Lakes Oral & Maxillofacial Surgery, P.a. 1200 Crest View Dr Ste 1, Hudson, Wisconsin
Zip:
54016-9391
Phone Number:
715-381-7070
Fax Number:
715-381-0383
Patients can reach Great Lakes Oral & Maxillofacial Surgery, P.a. at 1200 Crest View Dr Ste 1, Hudson, Wisconsin or can call to book an appointment on 715-381-7070. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.