Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Great Lakes Oral & Maxillofacial Surgery, P.A.

Oral and Maxillofacial Surgery (Dentist) in Hudson, WI · enumerated 2010 · authorized official Richard Brunton, President.

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

National Provider Identifier

1902116288

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Registry record

Entity type Organization (Type 2)

Legal business name Great Lakes Oral & Maxillofacial Surgery, P.A.

Practice address 1200 Crest View Dr Ste 1, Hudson, WI, 54016

Phone (715) 381-7070

Fax (715) 381-0383

Enumeration date Oct 20, 2010

Last updated in NPPES Oct 20, 2010

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 4482 (WI) Primary

Authorized official

Name Richard Brunton

Title President

Phone (651) 351-1010

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 → Validate an NPI →

Frequently asked questions

What is the NPI number for Great Lakes Oral & Maxillofacial Surgery, P.A.?

The NPI for Great Lakes Oral & Maxillofacial Surgery, P.A. is 1902116288, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Great Lakes Oral & Maxillofacial Surgery, P.A.?

NPPES lists Richard Brunton (President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-10-20.