Kenosha Oral Surgery, S.c.
Oral and Maxillofacial Dental Clinic
6707 39th Ave, Kenosha
Wisconsin, 53142-7125
262-658-3559 262-658-0276
Maps & DirectionsKenosha Oral Surgery, S.c. is a Oral and Maxillofacial Dental Clinic in Kenosha, Wisconsin. It is located at 6707 39th Ave, Kenosha, WI and its contact number is 262-658-3559. The authorized person for Kenosha Oral Surgery, S.c. is Dr. Dale Willoughby
who is President of the clinic and their contact number is 262-658-3559. The primary license number for Kenosha Oral Surgery, S.c. is 4998015 (Oral and Maxillofacial Surgery) in Wisconsin.
Kenosha Oral Surgery, S.c. 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:
Kenosha Oral Surgery, S.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Kenosha Oral Surgery, S.c. |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 6707 39th Ave, Kenosha,
Wisconsin, 53142-7125 |
| Phone: | 262-658-3559 |
| Fax: | 262-658-0276 |
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. Dale Willoughby |
| Position: | President |
| Contact Number: | 262-658-3559 |
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 Kenosha Oral Surgery, S.c. clinic are as mentioned below.
| NPI Number: | 1710160486 |
| NPI Enumeration Date: | 17 Dec, 2007 |
| NPI Last Update On: | 02 Jun, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenosha Oral Surgery, S.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 4998015 | 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: | Kenosha Oral Surgery, S.c.
4707 Washington Rd,
Kenosha, Wisconsin |
| Zip: | 53144-1597 |
| Phone Number: | 262-658-3559 |
| Fax Number: | 262-658-0276 |
Patients can reach Kenosha Oral Surgery, S.c. at
6707 39th Ave, Kenosha, Wisconsin or can
call to book an appointment on 262-658-3559.
Comments/ Reviews:
Read all the reviews posted for Kenosha Oral Surgery, S.c. below. You may also share your own experience with Kenosha Oral Surgery, S.c.. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.