# MADISON ORAL & MAXILLOFACIAL SURGEONS SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144261199
- **Authorized official:** GREGORY G STRONCEK DDS (TREASURER)
- **Authorized official phone:** (608) 274-0770

## Contact information

- **Practice address:** 5801 RESEARCH PARK BLVD, STE 110, MADISON, WI 53719-6002
- **Practice address phone:** (608) 274-7711
- **Practice address fax:** (608) 274-9224
- **Mailing address:** 5801 RESEARCH PARK BLVD, STE 110, MADISON, WI 53719-6002
- **Mailing address phone:** (608) 274-7711
- **Mailing address fax:** (608) 274-9224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | WI | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 08/22/2020
