Robert A. Wallock
Oral and Maxillofacial Surgeon | 35+ years Exp
12720 W North Ave, Brookfield
Wisconsin, 53005-4637
262-784-0053 Maps & DirectionsRobert A. Wallock is a Brookfield, Wisconsin based Oral and Maxillofacial Surgeon with
35 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
Marquette University School Of Dentistry in 1990. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Robert A. Wallock is
4138-015 for Oral and Maxillofacial Surgery in Wisconsin. His current practice location is
12720 W North Ave, Brookfield. Patients can reach him at
262-784-0053.
Robert A. Wallock 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 Profile:
Robert A. Wallock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Robert A. Wallock |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Experience: | 35+ years |
| Medical School Attended: | Marquette University School Of Dentistry |
| Graduation Year: | 1990 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 12720 W North Ave, Brookfield,
Wisconsin, 53005-4637 |
| Phone: | 262-784-0053 |
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 are as mentioned below.
| PAC ID: | 7911166004 |
| Enrollment ID: | I20120308000740 |
| NPI Number: | 1952599573 |
| NPI Enumeration Date: | 09 Oct, 2007 |
| NPI Last Update On: | 10 Nov, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Robert A. Wallock are as mentioned below.
| License Number | Specialization | State | Status | |
| 4138-015 | Oral and Maxillofacial Surgery | Wisconsin | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Robert A. Wallock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1366586224 | Other | | TYPE 2 NPI |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12720 W North Ave,
Brookfield, Wisconsin |
| Zip: | 53005-4637 |
| Phone Number: | 262-784-0053 |
Patients can reach Robert A. Wallock at
12720 W North Ave, Brookfield, Wisconsin or can
call to book an appointment on 262-784-0053.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.