Organization
ORAL SURGERY ASSOC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUY K JENSEN DDS MS (OWNER)
(920) 923-0111
Entity
Organization
Contact information
Practice address
464 SOUTH HICKORY STREET, SUITE A, FOND DU LAC, WI 54935
(920) 923-0111
(920) 923-0366
Mailing address
464 SOUTH HICKORY STREET, SUITE A, FOND DU LAC, WI 54935
(920) 923-0111
(920) 923-0366
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
5000111-015
WI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
5001856-015
WI
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us