# HIGHLAND LAKES ORAL SURGERY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1265285506
- **Authorized official:** MS. NATALIE MARQUARDT (PRACTICE MANAGER)
- **Authorized official phone:** (715) 365-1777

## Contact information

- **Practice address:** 550 E TIMBER DR STOP 4, RHINELANDER, WI 54501-2894
- **Practice address phone:** (715) 420-0999
- **Mailing address:** 550 E TIMBER DR STOP 4, RHINELANDER, WI 54501-2894
- **Mailing address phone:** (715) 420-0999

## Taxonomy

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

## Other

- **Enumeration date:** 04/08/2024
- **Last updated:** 04/08/2024