OrganizationMilwaukee Oral Surgery & Implants LtdDentistDental ProvidersPractice Address2323 N Mayfair Rd, #102, Milwaukee, WI 53226(414) 257-1161PECOS EnrollmentBased on the most recent information from CMS, provider Milwaukee Oral Surgery & Implants Ltd does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1972550234Provider TypeOrganizationFull NameMilwaukee Oral Surgery & Implants LtdSubpartNoEnumeration Date5/30/2006Last Updated6/5/2018Contact InformationPractice LocationPractice Address2323 N Mayfair Rd, #102, Milwaukee, WI 53226Phone(414) 257-1161Fax(414) 257-0194Mailing LocationMailing Address2323 N Mayfair Rd, #102, Milwaukee, WI 53226-1506Phone(414) 257-1161Fax(414) 257-0194Authorized OfficialNameAndrews, Nancy (Office Manager)Phone(414) 257-1161Provider TaxonomiesCodeDescriptionLicenseCode1223S0112XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID38391000DescriptionMedicaidIssuerUnlistedWisconsin