| Wisconsin Oral Medicine Llc | |
|
8405 W Forest Home Ave Greenfield WI 53228-3407 | |
| (443) 255-8743 | |
| Not Available |
| Full Name | Wisconsin Oral Medicine Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8405 W Forest Home Ave, Greenfield, Wisconsin |
| Authorized Official Name and Position | Bhavik Desai (OWNER) |
| Authorized Official Contact | 4432558743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Oral Medicine Llc 6400 Industrial Loop Greendale WI 53129-2452 Ph: (414) 858-4125 | Wisconsin Oral Medicine Llc 8405 W Forest Home Ave Greenfield WI 53228-3407 Ph: (443) 255-8743 |
| NPI Number | 1417740465 |
|---|---|
| Provider Enumeration Date | 05/23/2025 |
| Last Update Date | 05/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417740465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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