# ORAL SURGERY ASSOCIATES OF MILWAUKEE SC

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

## Provider details

- **NPI number:** 1477647832
- **Authorized official:** DR. ALAN A KIMMEL DDS (ORAL & MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (262) 241-0900

## Contact information

- **Practice address:** 10535 N PORT WASHINGTON RD, SUITE 102, MEQUON, WI 53092-5583
- **Practice address phone:** (262) 241-0900
- **Practice address fax:** (262) 241-0904
- **Mailing address:** 10535 N PORT WASHINGTON RD, SUITE 102, MEQUON, WI 53092-5583
- **Mailing address phone:** (262) 241-0900
- **Mailing address fax:** (262) 241-0904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 4130-015 | WI | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 07/30/2025