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Oral and Maxillofacial Surgery Asso of Eau Claire Sc

Oral & Maxillofacial Surgery (D.M.D.) in Altoona, WI · enumerated 2006 · authorized official Gina Thor, Transcription and Credentialing.

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

National Provider Identifier

1316954928

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Registry record

Entity type Organization (Type 2)
Legal business name Oral and Maxillofacial Surgery Asso of Eau Claire Sc
Other name <Unavail>
Practice address 788 Oakleaf Way, Altoona, WI, 54720
Phone (715) 834-8414
Fax (715) 834-3557
Enumeration date Aug 3, 2006
Last updated in NPPES Jul 26, 2018

Taxonomy & classification

1223E0200X Endodontics Dental Providers Secondary
1223E0200X Endodontics Dental Providers · License 6222-15 (WI) Secondary
1223E0200X Endodontics Dental Providers · License 4412-015 (WI) Secondary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Secondary
204E00000X Oral & Maxillofacial Surgery (D.M.D.) Allopathic & Osteopathic Physicians · License 4495-015 (WI) Primary
204E00000X Oral & Maxillofacial Surgery (D.M.D.) Allopathic & Osteopathic Physicians · License 4680-015 (WI) Secondary
204E00000X Oral & Maxillofacial Surgery (D.M.D.) Allopathic & Osteopathic Physicians · License 5112-015 (WI) Secondary
204E00000X Oral & Maxillofacial Surgery (D.M.D.) Allopathic & Osteopathic Physicians · License 5563-015 (WI) Secondary

Authorized official

Name Gina Thor
Title Transcription and Credentialing
Phone (715) 834-8414

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Oral and Maxillofacial Surgery Asso of Eau Claire Sc?
Oral and Maxillofacial Surgery Asso of Eau Claire Sc is registered in NPPES as a Oral & Maxillofacial Surgery (D.M.D.) (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-07-26.