Apple Creek Oral Surgery, Sc

Apple Creek Oral Surgery, Sc is a healthcare organization registered as Oral and Maxillofacial Pathology Dentistry in Appleton, WI, holding Type 2 (organization) NPI 1275753659 since 2007. The authorized official on file is Timothy Koll, President.

✓ Active NPI ✓ Valid NPI checksum

NPI	1275753659
Entity type	Organization (Type 2)
Legal business name	Apple Creek Oral Surgery, Sc
Practice address	2410 EAST EVERGREEN DRIVE, Appleton, WI, 54913
Phone	9208329500
Enumeration date	2007-04-26
Last updated in NPPES	2020-08-22

Authorized official

Name	Timothy Koll
Title	President
Phone	9208329500

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223P0106X	Oral and Maxillofacial Pathology Dentistry	Primary	4243	WI

Copy-ready billing details

Provider: Apple Creek Oral Surgery, Sc
NPI: 1275753659
Taxonomy: 1223P0106X (Oral and Maxillofacial Pathology Dentistry)
Address: 2410 EAST EVERGREEN DRIVE, Appleton, WI, 54913

Verify this record

Cross-check NPI 1275753659 against the authoritative CMS record: view Apple Creek Oral Surgery, Sc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Apple Creek Oral Surgery, Sc located?

The practice location on file with NPPES is in Appleton, WI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.