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Organization

Oral Surgery Assoc Ltd

NPI Record: ActiveOral & Maxillofacial Surgery
NPI1013020866
Fond Du Lac, Wisconsin

Provider's NPPES record last updated: August 22, 2020

Overview

Entity Type
Organization
NPI
1013020866
Primary Specialty
Oral & Maxillofacial Surgery
Practice Location
Fond Du Lac, Wisconsin
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:01 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Oral & Maxillofacial Surgery

    Allopathic & Osteopathic Physicians

    Primary

    Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

    Taxonomy code 204E00000X

Provider-Reported License Information

Oral & Maxillofacial Surgery (Wisconsin)
5000111-015
Oral & Maxillofacial Surgery (Wisconsin)
5001856-015
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

464 South Hickory Street

Suite A

Fond Du Lac, Wisconsin 54935

Phone: (920) 923-0111

Record Information

Enumeration Date
August 16, 2006
Provider's NPPES Record Last Updated
August 22, 2020
NPISignal NPPES Dataset
August 2026

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