Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northwoods Oral and Maxillofacial Surgery SC

Organization Dentist · NPI 1346460441

Northwoods Oral and Maxillofacial Surgery SC provides Dentist services in Minocqua, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

9762 W Lake Ave
Minocqua, WI 54548 Not confirmed with CMS for 19 years — call before visiting
Phone: (715) 358-3321
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4694 (WI)

Record details

NPI number1346460441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Kosmen — Dentist · (715) 358-3321
NPI enumeratedApril 30, 2007
Last updated in NPPESSeptember 17, 2007
Mailing addressPo Box 1027, Minocqua, WI 53548

Other providers in Minocqua