OrganizationOral Surgery Associates Of MilwaukeeDentistDental ProvidersPractice Address800 North Mayfair Road, Suite 130, Wauwatosa, WI 53226(262) 798-0800PECOS EnrollmentBased on the most recent information from CMS, provider Oral Surgery Associates Of Milwaukee 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 yesterday at 10:51 AM.Profile DetailsProvider ID1720172992Provider TypeOrganizationFull NameOral Surgery Associates Of MilwaukeeSubpartNoEnumeration Date10/3/2006Last Updated7/30/2025Contact InformationPractice LocationPractice Address800 North Mayfair Road, Suite 130, Wauwatosa, WI 53226Phone(262) 798-0800Fax(262) 798-0851Mailing LocationMailing Address800 North Mayfair Road, Suite 130, Wauwatosa, WI 53226Phone(262) 798-0800Fax(262) 798-0851Authorized OfficialNameKimmel, Alan A (President)Phone(262) 241-0900Provider TaxonomiesCodeDescriptionLicenseCode1223S0112XPrimaryDescriptionDentistDental ProvidersLicense4130-015Wisconsin