Organization
OSHKOSH SMILES DENTISTRY LLC
Active
Other names
Hanneman Dustrude Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LLOYD HANNEMAN DDS (OWNER)
(920) 233-6001
Entity
Organization
Contact information
Practice address
1218 WITZEL AVE, OSHKOSH, WI 54902-5659
(920) 233-6001
(920) 233-9769
Mailing address
1218 WITZEL AVE, OSHKOSH, WI 54902-5659
(920) 233-6001
(920) 233-9769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2950
WI
Other
Enumeration date
04/18/2013
Last updated
07/20/2026
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