Kenosha 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.