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Sheboygan Oral and Maxillofacial Assoc Ltd

Oral and Maxillofacial Surgery (Dentist) in Sheboygan, WI · enumerated 2006 · authorized official John Keller, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306894134

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Registry record

Entity type Organization (Type 2)
Legal business name Sheboygan Oral and Maxillofacial Assoc Ltd
Practice address .3637 Wilgus Avenue, Sheboygan, WI, 53081
Phone (920) 458-8213
Fax (920) 459-9797
Enumeration date May 4, 2006
Last updated in NPPES Jan 21, 2009

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name John Keller
Title President
Phone (920) 458-8213

Other identifiers

Identifier Type State Issuer
38365300 Medicaid WI -

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.

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Frequently asked questions

Where is Sheboygan Oral and Maxillofacial Assoc Ltd located?
The practice location on file with NPPES is in Sheboygan, WI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-01-21. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-01-21.