Healthcare Provider Details

I. General information

NPI: 1043266927
Provider Name (Legal Business Name): CHRISTOPHER S. MCFARLANE D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 07/07/2020
Certification Date: 07/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 WEST POINTE DR.
OSHKOSH WI
54902
US

IV. Provider business mailing address

1875 WEST POINTE DR.
OSHKOSH WI
54902
US

V. Phone/Fax

Practice location:
  • Phone: 920-231-4600
  • Fax: 920-231-4559
Mailing address:
  • Phone: 920-231-4600
  • Fax: 920-231-4559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number5017-015
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: