Wisconsin Society of Oral and Maxillofacial Surgeons · Wisconsin Society of Oral and Maxillofacial...

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Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Troy A. Alton

Madison Oral and Maxillofacial Surgeons SC

5801 Research Park Blvd., #110

Madison, WI 53719

Phone: 608-274-0770

Email: Alton@madisonoralsurgeons.com

Member Status: Active

Anesthesia Date: 2018

Dr. Henry N. Ambrookian, Jr.

Oral & Maxillofacial Surgery-Oakbrook Health

Center

1201 Oak St

West Bend, WI 53095

Phone: 262-334-7172

Email: hambrookian@oakbrookoms.com

Member Status: Active

Anesthesia Date: 2014

Dr. Steven K. Anderson

Oral Surgery Center, SC

1203 8th Street

Baraboo, WI 53913

Phone: 608-356-2112

Email: skanderson@centurytel.net

Member Status: Active

Anesthesia Date: 2016

Dr. Courtney Anderson

BayCare Clinic Oral & Maxillofacial Surgeons

2581 Development Drive

Green Bay, WI 54311

Phone: 920-347-0400

Email: canderson@baycare.net

Member Status: Active

Anesthesia Date:

Dr. Theodore M. Anderson

Sheboygan Oral & Maxillofacial Associates LTD

3637 Wilgus Ave

Sheboygan, WI 53081

Phone: 920-458-8213

Email: stcanderson@gmail.com

Member Status: Active

Anesthesia Date: 2017

Dr. David M. Angell

Winnebago Oral Surgery

1875 West Pointe Dr

Oshkosh, WI 54906-4174

Phone: 920-231-4600

Email: drangell@hotmail.com

Member Status: Active

Anesthesia Date: 2016

Dr. Chris Bacsik

Madison Oral and Maxillofacial Surgeons SC

5801 Research Park Blvd., #110

Madison, WI 53719

Phone: 608-274-0770

Email: bacsik1@hotmail.com

Member Status: Active

Anesthesia Date: 2018

Dr. Mary Ballard

Aspen Dental

12455 West Capitol Drive

Brookfiled, WI 53005

Phone: 703-772-4355

Email: maryballard8@gmail.com

Member Status: Candidate

Anesthesia Date:

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Christopher A. Bergstrom

Oral & Maxillofacial Surgery Fox Cities

5395 West Michael's Drive

Appleton, WI 54913

Phone: 920-739-1214

Email: cabergstrom@omsfoxcities.com

Member Status: Active

Anesthesia Date: 2018

Dr. Joseph A. Best

Oral & Maxillofacial Surgery Associates, Ltd.

1111 Delafield St., #222

Waukesha, WI 53188-3403

Phone: 262-547-8665

Email: josephbest@mac.com

Member Status: Active

Anesthesia Date: 2016

Dr. Brian J. Blocher

201 N. Mayfair Rd., #520

Milwaukee, WI 53226-4216

Phone: 414-607-0222

Email: BJBlocher@aol.com

Member Status: Active

Anesthesia Date: 2019

Dr. Regan F. Brown

The Oral Surgery Center

8401 Seasons Parkway

Woodbury, MN 55125

Phone: 651-738-2341

Email: drreganfbrown@gmail.com

Member Status: Active

Anesthesia Date: 2014

Dr. Jeffrey L. Casperson

Oral & Maxillofacial Surgery Fox Cities

5395 West Michael's Drive

Appleton, WI 53913

Phone: 920-739-1214

Email: jlcasperson@omsfoxcities.com

Member Status: Active

Anesthesia Date: 2018

Dr. Robert K. Conlon

Lake Geneva Oral & Maxillofacial Surgery

312 Center Street

Lake Geneva, WI 53147

Phone: 262-248-8766

Email: lgoms@genevaonline.com

Member Status: Active

Anesthesia Date: 2019

Dr. Kevin Connor

Oral & Maxillofacial Surgery Associates, Ltd.

1111 Delafield St., #222

Waukesha, WI 53188-3406

Phone: 262-547-8665

Email: kconnor123@hotmail.com

Member Status: Active

Anesthesia Date: 2015

Dr. M. Scott Connor

Oral & Maxillofacial Surgery Associates, Ltd.

1111 Delafield St., #222

Waukesha, WI 53188-3403

Phone: 262-547-8665

Email: jawfxr@gmail.com

Member Status: Active

Anesthesia Date: 2016

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. John E. Darling

John E. Darling, DDS

200 W. Silver Spring Dr., #285

Glendale, WI 53217

Phone: 414-964-7109

Email: jedarling01@yahoo.com

Member Status: Active

Anesthesia Date: 2014

Dr. Jeffery B. Davis

Center for Oral and Maxillofacial Surgery

20 South Park St., #506

Madison, WI 53715

Phone: 608-256-1961

Email: jbdavis@charter.net

Member Status: Active

Anesthesia Date: 2016

Dr. Ian Dozier

Oral & Maxillofacial Surgery Associates

1120 Oak Ridge Drive

Eau Claire, WI 54701

Phone: 715-834-8414

Email: dozi0001@icloud.com

Member Status: Active

Anesthesia Date: 2018

Dr. Timothy B. Durtsche

Drs. Anderson & Durtsche, LTD

615 South Tenth Street

La Crosse, WI 54601

Phone: 608-784-7319

Email: tbdurtsche@durtschedds.com

Member Status: Active

Anesthesia Date: 2016

Dr. Charles Ellis

Bay Oral Surgery & Implant Center

2353 South Ridge Road, #1

Green Bay, WI 54304

Phone: 920-499-0471

Email: chuckfsu@gmail.com

Member Status: Candidate

Anesthesia Date:

Dr. David J. Gingrass

Drs Hawkins, Gingrass, Miller and Triggs

2323 N Mayfair Rd, #102

Milwaukee, WI 53226

Phone: 414-257-1161

Email: dgingrass@yahoo.com

Member Status: Active

Anesthesia Date: 2015

Dr. Robert J. Goeckermann

Oral Surgery Consultants

4811 S 76th Street, Suite 304

Greenfield, WI 53220

Phone: 414-281-3344

Email:

rgoeckermann@oralsurgeryconsultants.com

Member Status: Candidate

Anesthesia Date:

Dr. Jeffrey Goetz

Oral & Maxillofacial Surgery Associates

1120 Oak Ridge Drive

Eau Claire, WI 54701

Phone: 715-832-5455

Email: jlgoetz@charter.net

Member Status: Active

Anesthesia Date: 2018

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Mary A. Grote

301-A.South Roosevelt Drive

Beaver Dam, WI 53916

Phone: 920-887-8423

Email: magrote@sbcglobal.net

Member Status: Active

Anesthesia Date: 2018

Dr. Ronald Guttu

Ronald L. Guttu DDS, MSD

2359 Murphy Woods Road

Beloit, WI 53511

Phone: 608-362-9391

Email: r2gutu@aol.com

Member Status: Active

Anesthesia Date: 2016

Dr. Philip L. Hawkins

Drs Hawkins, Gingrass, Miller and Triggs

2323 N Mayfair Rd, #102

Milwaukee, WI 53226

Phone: 414-257-1161

Email:

Member Status: Active

Anesthesia Date: 2015

Dr. Erich Herbst

Oral Surgery Center, SC

1203 8th Street

Baraboo, WI 53913

Phone: 608-356-2112

Email: jherbst@charter.net

Member Status: Active

Anesthesia Date: 2016

Dr. Donald P. Holzhauer

Oral & Maxillofacial Surgery Associates, Ltd.

1111 Delafield St., #222

Waukesha, WI 53188-3403

Phone: 262-547-8665

Email: dpholzhauer@hotmail.com

Member Status: Active

Anesthesia Date: 2015

Dr. Thomas V. Houting

316 Vincent Street

Stevens Point, WI 54481

Phone: 715-342-4545

Email: fly2buoy@msn.com

Member Status: Active

Anesthesia Date: 2016

Dr. Scott A. Hoyer

Madison Oral and Maxillofacial Surgeons SC

5801 Research Park Blvd., #110

Madison, WI 53719

Phone: 608-274-0770

Email:

Member Status: Active

Anesthesia Date: 2017

Dr. Ted A. Hughes

Lake Geneva Oral & Maxillofacial Surgery

312 Center Street

Lake Geneva, WI 53147

Phone: 262-248-8766

Email: tehughe@yahoo.com

Member Status: Active

Anesthesia Date: 2019

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Slavko Ivankovic

Oral & Maxillofacial Surgery Associates

1120 Oak Ridge Drive

Eau Claire, WI 54701

Phone:

Email: sivankovic@ecdentalspecialists.com

Member Status: Active

Anesthesia Date: 2018

Dr. Mark K. Jackson

Center for Oral and Maxillofacial Surgery

20 South Park St., #506

Madison, WI 53715

Phone: 608-256-1961/833-2060

Email: mjackson9@charter.net

Member Status: Active

Anesthesia Date: 2016

Dr. Guy K. Jensen

Oral Surgery Assoc. Ltd.

464 South Hickory Street, #A

Fond du Lac, WI 54935

Phone: 920-923-0111

Email: gjensen@charter.net

Member Status: Active

Anesthesia Date: 2014

Dr. Jeffrey R. Jones

Retired

5985 Northshore Drive

Eau Claire, WI 54703

Phone: 715-835-2073

Email: jjones@ecdentalspecialists.com

Member Status: Active

Anesthesia Date: 2018

Dr. John J. Keller

Sheboygan Oral & Maxillofacial Associates LTD

3637 Wilgus Ave

Sheboygan, WI 53081

Phone: 920-458-8213

Email: keller-d@sbcglobal.net

Member Status: Active

Anesthesia Date: 2017

Dr. Alan A. Kimmel

Oral Surgery Associates of Milwaukee

10535 N Port Washington Road, Suite 102

Mequon, WI 53092

Phone: 262-241-0900

Email: aakimmel@yahoo.com

Member Status: Active

Anesthesia Date: 2017

Dr. Bradley S. Koch

Bay Oral Surgery & Implant Center

2353 South Ridge Road, #1

Green Bay, WI 54304

Phone: 920-499-0471

Email: bradkoch@bayoral.com

Member Status: Active

Anesthesia Date: 2014

Dr. Timothy J. Koll

Apple Creek Oral Surgery

2410 Evergreen Drive

Appleton, WI 54913

Phone: 920-832-9500

Email: tjkoll@gmail.com

Member Status: Active

Anesthesia Date: 2017

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Timothy J. Koob

Madison Oral and Maxillofacial Surgeons SC

5801 Research Park Blvd., #110

Madison, WI 53719

Phone: 608-274-0770

Email: koob@madisonoralsurgeons.com

Member Status: Active

Anesthesia Date: 2018

Dr. Martin Koop

Gundersen Clinic

1836 South Avenue

La Crosse, WI 54601

Phone: 608-775-2260

Email: koopzoo@hotmail.com

Member Status: Active

Anesthesia Date: 2014

Dr. Mark J. Kortebein

Oral Surgery Associates of Milwaukee

10535 N Port Washington Road, Suite 102

Mequon, WI 53092

Phone: 262-241-0900

Email: mkorteb@yahoo.com

Member Status: Active

Anesthesia Date: 2017

Dr. John M. Kosmen

Northwoods Oral & Maxillofacial Surgery, SC

7962 W Lake Ave, P.O. Box 1027

Minocqua, WI 54548

Phone: 715-358-3321

Email: nwoms@frontier.com

Member Status: Active

Anesthesia Date: 2015

Dr. Andrew J. Kramer

Center for Oral and Maxillofacial Surgery

20 South Park St., #506

Madison, WI 53715

Phone: 608-695-6004

Email: andrewkramer1@gmail.com

Member Status: Active

Anesthesia Date: 2016

Dr. David E. Krigbaum

2620 Stewart Ave., #218

Wausau, WI 54401

Phone: 715-842-8811

Email: info@drkrigbaum.com

Member Status: Active

Anesthesia Date: 2018

Dr. Thomas W. Kuerschner

Premier Oral & Maxillofacial Surgery

1602 N. Randall Avenue

Janesville, WI 53545

Phone: 608-756-8744

Email: tkuerschner@mac.com

Member Status: Active

Anesthesia Date: 2014

Dr. Jason L. LeMoine

Bay Oral Surgery & Implant Center

2353 South Ridge Road, #1

Green Bay, WI 54304

Phone: 920-499-0471

Email: jlemoine@bayoral.com

Member Status: Active

Anesthesia Date: 2014

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. David L. LeMoine

Bay Oral Surgery & Implant Center

2353 South Ridge Road, #1

Green Bay, WI 54304

Phone: 800-236-6725

Email: davidlemoine@bayoral.com

Member Status: Active

Anesthesia Date: 2014

Dr. Patrick J. Lorge

Madison Oral and Maxillofacial Surgeons SC

5801 Research Park Blvd., #110

Madison, WI 53719

Phone: 608-274-0770

Email: plorge@madisonoralsurgeons.com

Member Status: Active

Anesthesia Date: 2018

Dr. David P. Ludington

2819 National Drive

Onalaska, WI 54650

Phone: 608-782-8192

Email: osc_lax@msn.com

Member Status: Active

Anesthesia Date: 2019

Dr. Weiguang Ma

Marshfield Clinic

4107 Barbican Way

Weston, WI 54476

Phone: 715-393-0080

Email: Weileiz@yahoo.com

Member Status: Active

Anesthesia Date: 2015

Dr. Thomas MacKenzie

Gundersen Lutheran Health System

1900 South Avenue

La Crosse, WI 54601

Phone: 608-775-2260

Email: tsmacken@gundersenhealth.org

Member Status: Active

Anesthesia Date: 0

Dr. Thomas S. MacKenzie

Gunderson Clinic

1900 South Avenue

LaCrosse, WI 54601

Phone: 608-775-2260

Email: tsmacken@gundluth.org

Member Status: Active

Anesthesia Date:

Dr. Christopher P. McAboy

377 W River Woods Parkway, #120

Glendale, WI 53212

Phone: 262-391-2186

Email: cmcaboy25@gmail.com

Member Status: Active

Anesthesia Date: 2018

Dr. Christopher McFarlane

Winnebago Oral Surgery SC

1875 West Pointe Drive

Oshkosh, WI 54902

Phone: 920-231-4600

Email:

Member Status: Active

Anesthesia Date: 2017

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Mehran Mehrabi

Advanced Dental Specialists

2600 N Mayfair Rd, Ste 101

Wauwatosa, WI 53226

Phone: 414-475-1418

Email: mmehrabi@amdpi.com

Member Status: Active

Anesthesia Date: 2014

Dr. Richard Duane Meister

Premier Oral & Maxillofacial Surgery

1602 N. Randall Avenue

Janesville, WI 53545

Phone: 608-756-8744

Email: rdmdds@yahoo.com

Member Status: Active

Anesthesia Date: 2014

Dr. Michael Melugin

QuadMed/Children's Hospital of WI

W331 N6210 County Rd C

Nashotah, WI 53058

Phone: 262-798-1492

Email: mbmelugin@execpc.com

Member Status: Active

Anesthesia Date: 2016

Dr. John W. Miller

Drs Hawkins, Gingrass, Miller and Triggs

10521 N. Pt. Washington Rd. Ste 150

Mequon, WI 53092

Phone: 262-241-0398

Email: jm@omsdr.com

Member Status: Active

Anesthesia Date: 2015

Dr. M. Drew Millington

Oral & Maxillofacial Surgery Associates

1120 Oak Ridge Drive

Eau Claire, WI 54701

Phone: 715-834-8414

Email:

Member Status: Active

Anesthesia Date: 2018

Dr. Michael J. Miskella

Bay Oral Surgery & Implant Center

2353 South Ridge Road, #1

Green Bay, WI 54304

Phone: 920-499-0471

Email: michaelmiskella@yahoo.com

Member Status: Active

Anesthesia Date: 2014

Dr. Jonathan Misner

Premier Oral & Maxillofacial Surgery

1602 N Randall

Janesville, WI 53545

Phone: 608-756-8744

Email: jmisner.dmd@gmail.com

Member Status: Candidate

Anesthesia Date:

Dr. Ronald H. Nellen

Oral and Maxillofacial Surgery Consultants of

WI, SC

4811 South 76th Street, Suite 304

Greenfield, WI 53220

Phone: 414-281-3344

Email: rnellen@wi.rr.com

Member Status: Active

Anesthesia Date: 2015

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. William J. Nelson

EXEMPT from Anesthesia Eval per AAOMS

480 St. Mary's Blvd.

Green Bay, WI 54301

Phone: 920-217-2036

Email: wnelson445@gmail.com

Member Status: Active

Anesthesia Date: 9999

Dr. Timothy S. Novak

Oral & Maxillofacial Surgery Associates, Ltd.

1111 Delafield St., #222

Waukesha, WI 53188-3403

Phone: 262-547-8665

Email: t.novak@mac.com

Member Status: Active

Anesthesia Date: 2015

Dr. Michael Oladubu

9130 W Loomis Road, Suite 700

Franklin, WI 53132

Phone: 414-209-0337

Email: moladubu@amdpi.com

Member Status: Candidate

Anesthesia Date:

Dr. Kim J. Pansegrau

Center for Oral and Maxillofacial Surgery

20 South Park St., #506

Madison, WI 53715

Phone: 608-256-1961

Email: kelm97@yahoo.com

Member Status: Active

Anesthesia Date: 2016

Dr. Vijay S. Parmar

Bay Oral Surgery & Implant Center

2353 South Ridge Road, #1

Green Bay, WI 54304

Phone: 920-499-0471

Email: vsparmar1710@yahoo.com

Member Status: Active

Anesthesia Date: 2014

Dr. Milan N. Pastuovic

Marshfield Clinic

1000 North Oak Avenue

Marshfield, WI 54449

Phone: 715-387-5343

Email: milanpastuovic@aol.com

Member Status: Active

Anesthesia Date: 2015

Dr. Wendy Pietz

Wendy M. Pietz, DDS, SC, Oral Facial & Implant

Surgery

4600 West Loomis Rd, Ste 220

Greenfield, WI 53220

Phone: 414-281-1881

Email: wendypietz@megootz.com

Member Status: Active

Anesthesia Date: 2016

Dr. Ajit Vijayan Pillai

Dental Associates

11711 W Burleigh St

Wauwatosa, WI 53222

Phone: 414-771-2345

Email: avp2dmd90@gmail.com

Member Status: Active

Anesthesia Date: 2015

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Henry S. Plautz

Apple Creek Oral Surgery

2410 Evergreen Drive

Appleton, WI 54913

Phone: 920-832-9500

Email: ztualp@aol.com

Member Status: Active

Anesthesia Date: 2017

Dr. Anthony Ragonese

10401 West Lincoln Avenue, #101

West Allis, WI 53277

Phone: 414-327-4130

Email: anthonyragonese@sbcglobal.net

Member Status: Active

Anesthesia Date: 2018

Dr. Mark Ridenour

Winnebago Oral Surgery SC

1875 West Pointe Drive

Oshkosh, WI 54902

Phone: 920-231-4600

Email: markjridenour@gmail.com

Member Status: Active

Anesthesia Date: 2017

Dr. Terrence J. Riesch

Associated Oral & Maxillofacial Surgeons

N89 W16785 Appleton Ave.

Menomonee Falls, WI 53051

Phone: 262-253-6588

Email: riesch@att.net

Member Status: Active

Anesthesia Date: 2016

Dr. Donald E. Romsa

Racine Oral & Maxillofacial Surgery Assoc.

5801 Washington Avenue

Racine, WI 53406

Phone: 262-886-0147

Email: dromsa80@gmail.com

Member Status: Active

Anesthesia Date: 2015

Dr. Doran E. Ryan

Oral Surgery Assoc. Ltd.

464 South Hickory Street, #A

Fond Du Lac, WI 54935

Phone: 920-923-0111

Email: AFDOC9@yahoo.com

Member Status: Active

Anesthesia Date: 2019

Dr. John Rydlewicz

Oral & Maxillofacial Surgery Fox Cities

5395 West Michael's Drive

Appleton, WI 54913

Phone: 920-739-1214

Email: jjrydlewicz@omsfoxcities.com

Member Status: Active

Anesthesia Date: 2018

Dr. Ma'Lou C. Sabino

Medical College of Wisconsin

840 N. 87th Street, #2169

Milwaukee, WI 53226

Phone: 414-805-5781

Email: msabino@mcw.edu

Member Status: Active

Anesthesia Date: 2016

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Gregory A. Santarelli

Santarelli Oral & Facial Surgery, SC

5021 Washington Road

Kenosha, WI 53144-4292

Phone: 262-654-6770

Email: greg@santarelliofs.com

Member Status: Active

Anesthesia Date: 2016

Dr. Joseph M. Schmidt

Oral & Maxillofacial Surgery Associates, Ltd.

1111 Delafield St., #222

Waukesha, WI 53188-3403

Phone: 262-547-8665

Email: jms52992@aol.com

Member Status: Active

Anesthesia Date: 2016

Dr. David P. Schmidt

Oral Surgery Assoc. Ltd.

464 South Hickory Street, #A

Fond du Lac, WI 54935

Phone: 920-923-0111

Email: oralsurgery@oralsurgeryassociates.org

Member Status: Active

Anesthesia Date: 2014

Dr. Michael Schuh

BayCare Clinic Oral & Maxillofacial Surgeons

2581 Development Drive

Green Bay, WI 54311-4247

Phone: 920-347-0400

Email: mschuh@baycare.net

Member Status: Active

Anesthesia Date: 2014

Dr. Wade T. Schultz

Sheboygan Oral & Maxillofacial Associates LTD

3637 Wilgus Ave

Sheboygan, WI 53081

Phone: 920-458-8213

Email: SCHULTZOMS@charter.net

Member Status: Active

Anesthesia Date: 2017

Dr. Steven R. Sewall

Medical College of Wisconsin

840 N. 87th Street, #2169

Milwaukee, WI 53226

Phone: 414-805-5781

Email: ssewall@mcw.edu

Member Status: Active

Anesthesia Date: 2016

Dr. Kent Shinozaki

Northpoint Oral Surgery

304 E Rand Rd, Ste 200

Arlington Heights, IL 60004

Phone: 224-770-3001

Email: kent.shinozaki@gmail.com

Member Status: Active

Anesthesia Date: 2019

Dr. Mark Slabbekoorn

Marshfield Clinic

850 Lakeland Drive

Chippewa Falls, WI 54729

Phone: 715-738-2000

Email: slaboms@yahoo.com

Member Status: Active

Anesthesia Date: 2016

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Mary Stavropoulos

Gundersen Lutheran Medical Center

1900 South Ave

La Crosse, WI 54601

Phone: 608-775-2260

Email: mfstavro@gundersenhealth.org

Member Status: Candidate

Anesthesia Date:

Dr. John W. Stilp

3000 Westhill Dr., #301

Wausau, WI 54401

Phone: 715-845-4511

Email: jwcastilp@aol.com

Member Status: Active

Anesthesia Date: 2015

Dr. Rays Strasia

5302 Buttonwood Dr

Madison, WI 53718

Phone: 608-240-0863

Email: rstrasia@cfoams.com

Member Status: Candidate

Anesthesia Date:

Dr. Gregory G. Stroncek

Madison Oral and Maxillofacial Surgeons SC

5801 Research Park Blvd., #110

Madison, WI 53719

Phone: 608-274-0770

Email: stroncek@facstaff.wisc.edu

Member Status: Active

Anesthesia Date: 2018

Dr. Jason Swantek

Premier Oral and Maxillofacial Surgery

1602 N. Randall Avenue

Janesville, WI 53545

Phone: 608-756-8744

Email: jswantekdds@gmail.com

Member Status: Active

Anesthesia Date: 2018

Dr. Bruce J. Thomas

220 24th St. S

Wisconsin Rapids, WI 54494-1980

Phone: 715-424-8777

Email: jawsrgn@gmail.com

Member Status: Active

Anesthesia Date: 2018

Dr. Dean Tiboris

Satarelli Oral Surgery

5021 Washington Rd

Kenosha, WI 53144

Phone: 262-654-6770

Email: deno.tiboris@gmail.com

Member Status: Candidate

Anesthesia Date:

Dr. John Triggs

Drs Hawkins, Gingrass, Miller and Triggs

2323 N Mayfair Rd, #102

Milwaukee, WI 53226

Phone: 414-257-1161

Email: jtriggsoms@gmail.com

Member Status: Candidate

Anesthesia Date:

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Bryan J. Van Oven

Burlington Oral & Maxillofacial Surgery

190 Gardner Avenue

Burlington, WI 53105

Phone: 262-763-8101

Email: bvanoven1@msn.com

Member Status: Active

Anesthesia Date: 2019

Dr. Peter Wagner

Oral Surgery Associates of Milwaukee

10535 N Port Washington Road, Suite 102

Mequon, WI 53092

Phone: 262-241-0900

Email: peterwagnerdds.yahoo.com

Member Status: Active

Anesthesia Date: 2017

Dr. Richard M. Wagner

Wagner Oral Surgery & Dental Implant

Specialists

1925 South Green Bay Road

Racine, WI 53406

Phone: 262-634-4646

Email: drwagner@jaw-doc.com

Member Status: Active

Anesthesia Date: 2015

Dr. Robert A. Wallock

Elmbrook O & M Surgery Assoc.

12720 North Avenue

Brookfield, WI 53005

Phone: 262-377-1566

Email:

Member Status: Active

Anesthesia Date: 2016

Dr. Geoffrey Warda

Center for Oral and Maxillofacial Surgery, SC

20 South Park St., #506

Madison, WI 53715

Phone: 608-256-1951

Email: geoffreywarda@gmail.com

Member Status: Active

Anesthesia Date: 2016

Dr. Gregory Welsh

BayCare Clinic Oral & Maxillofacial Surgeons

2581 Development Drive

Green Bay, WI 54311

Phone: 920-347-0400

Email: gwelsh@baycare.net

Member Status: Active

Anesthesia Date: 2014

Dr. Dale W. Willoughby

6707 39th Ave

Kenosha, WI 53144

Phone: 262-658-3559

Email: info@kenoshaoralsurgery.com

Member Status: Active

Anesthesia Date: 2016

Dr. Donald Woehling

Dental Associates Specialty and Family Care

7117 Green Bay Road

Kenosha, WI 53142

Phone: 262-948-8345

Email: dwoehling@aol.com

Member Status: Active

Anesthesia Date: 0

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Steve Zent

BayCare Clinic Oral & Maxillofacial Surgeons

2581 Development Drive

Green Bay, WI 54311

Phone: 920-340-0400

Email: drszent@yahoo.com;

szent@baycare.net

Member Status: Active

Anesthesia Date: 2014

Dr. Timothy I. Zuck

Oral & Maxillofacial Surgery Fox Cities

5395 West Michael's Drive

Appleton, WI 54913

Phone: 920-739-1214

Email: tizuck@omsfoxcities.com

Member Status: Active

Anesthesia Date: 2018

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Charles R. Babst

Northern Oral & Maxillofacial Surge

1419 Beaser Avenue

Ashland, WI 54806

Phone: 715-682-2660

Email: chuckbabst@me.com

Member Status: Associate

Dr. Kurt E. Bruksch

Lake Geneva Oral & Maxillofacial Surgery

312 Center Street

Lake Geneva, WI 53147

Phone: 262-248-8766

Email: brukfam@comcast.net

Member Status: Associate

Dr. John Brunetti

Vernon Hills Oral & Maxillofacial Surgery

1 E Phillip Rd, Ste 101

Vernon Hills, IL 60061

Phone: 847-367-4190

Email: johnbrunetti@hotmail.com

Member Status: Associate

Dr. Paul K. Hodapp

Oral & Maxillofacial Surgical Associates

3712 Tower Ave, Ste E

Superior, WI 54880

Phone: 715-392-9846

Email:

Member Status: Associate

Dr. Lawrence H. Kent

Andreasen, Kent, Gadient and Associates, PC

1912 North Lexington Ave #150

Roseville, MN 55113

Phone: 651-636-2420

Email: larrykent12133@q.com

Member Status: Associate

Dr. Adam M. Ozment

Lake Geneva Oral & Maxillofacial Surgery

312 Center Street

Lake Geneva, WI 53147

Phone: 262-248-8766

Email: aozment@comcast.net

Member Status: Associate

Dr. John Richard

Lake Geneva Oral & Maxillofacial Surgery

312 Center Street

Lake Geneva, WI 53147

Phone: 262-248-8766

Email:

Member Status: Associate

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. C.C. Anderson

Phone: 715-835-7493

Email:

Member Status: Life/Retired

Dr. Odell J. Anderson

1902 Evenson Drive

Onalaska, WI 54650

Phone: 608-783-0420

Email: odell818@centurytel.net

Member Status: Life/Retired

Dr. P. Michael Banasik

N2286 Pammel Pass East

La Crosse, WI 54601

Phone: 608-788-2817

Email: thebanasiks@centurytel.net

Member Status: Life/Retired

Dr. Mark W. Biolo

Oral & Maxillofacial Surgery Associates

1120 Oak Ridge Drive

Eau Claire, WI 54701

Phone: 715-834-8414

Email:

Member Status: Life/Retired

Dr. James B. Caldwell

772 Fairway Drive

Boulder City, NV 89005-3434

Phone: 702-293-2971

Email: caldwell8@cox.net

Member Status: Life/Retired

Dr. Donald W. Camosy

18010 N Saddle Ridge Dr

Surprise, AZ 85374

Phone: 623-546-7165

Email: dcamosy@cox.net

Member Status: Life/ Retired

Dr. Richard E. Carey

2416 Cherokee Road

Janesville, WI 53545

Phone: 608-752-5913

Email: ckc@charter.net

Member Status: Life/Retired

Dr. Terry D. Cisler

Retired - Premier Oral & Maxillofacial Surgery

104 Seminole Road

Janesville, WI 53545

Phone: 608-754-2093

Email: tdcisler@yahoo.com

Member Status: Life/Retired

Dr. Robert E. Cline

14354 Harbour Landings Dr, Unit B

Fort Myers, FL 33908

Phone: 920-946-1788

Email: clinepapa@gmail.com

Member Status: Life/Retired

Dr. Roger L. Comeau

218 E. Lincoln St.

Appleton, WI 54915-1724

Phone: 920-739-3500

Email: rogerlc@athenet.net

Member Status: Life/Retired

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Ernst A. Cornielsen

W3627 Wildwood Drive

Lake Geneva, WI 53147

Phone: 262-325-0325

Email: ecornielsen@gmail.com

Member Status: Life/Retired

Dr. Daniel J. D'Angelo

Oral & Maxillofacial Surgery Associates, Ltd.

1111 Delafield St., #222

Waukesha, WI 53188-3403

Phone: 262-547-8665

Email: dandangelo@mac.com

Member Status: Life/Retired

Dr. Bradford V. Eneix

1812 Meadow Dr

Stoughton, WI 53589

Phone: 608-751-0928

Email: bveos@hotmail.com

Member Status: Life/Retired

Dr. Clifford I. Foster

4983 Simon Trail

Waunakee, WI 53597

Phone: 608-238-8987

Email:

Member Status: Life/Retired

Dr. Richard N. Gettino

Phone:

Email:

Member Status: Life/Retired

Dr. James H. Griffin

4905 Bayfield Terrace

Madison, WI 53705

Phone: 608-233-7467

Email:

Member Status: Life/Retired

Dr. H. Franklin Grunske

1119 Woodland Hills DR

Waukesha, WI 53188

Phone: 262-408-5775

Email: hfgmag@gmail.com

Member Status: Life/Retired

Dr. Kenneth M. Hartenian

6211 Bay Shore Drive

Sturgeon Bay, WI 54235

Phone: 920-746-6975

Email: westshor@gmail.com

Member Status: Life/Retired

Dr. Arthur C. Helgerson

4931 Bonita Bay Blvd #802

Bonita Springs, FL 34134

Phone: 239-948-3865

Email: ahelgerson1@comcast.net

Member Status: Life/Retired

Dr. Weber C. Hermann

Elmbrook O & M Surgery Assoc.

12720 North Avenue

Brookfield, WI 53005

Phone: 262-784-0053

Email:

Member Status: Life/Retired

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Richard B. Hilsabeck

1 Apple Creek Court

Appleton, WI 54911

Phone: 920-739-6954

Email: jawdoctor2@aol.com

Member Status: Life/Retired

Dr. Ronald M. Hubbard

Dr. Ronald Hubbard, S.C.

300 Roselawn Blvd.

Green Bay, WI 54301

Phone: 920-336-5195

Email:

Member Status: Life/Retired

Dr. Peter H. Jacobsohn

3819 W. Legrande Blvd.

Mequon, WI 53092

Phone: 262-242-0931

Email: peter@jacobsohn.com

Member Status: Life/Retired

Dr. Dennis L. Johnson

Lake Geneva Oral & Maxillofacial Surgery

312 Center Street

Lake Geneva, WI 53147

Phone: 904-543-0046

Email: dljohnson109comcast.net

Member Status: Life/Retired

Dr. Kenneth K. Kempf

W5337 Norseman Road

La Crosse, WI 54601

Phone: 608-788-6522

Email: kennethkempf@centurytel.net

Member Status: Life/Retired

Dr. F. Allan Ledward

Phone: 970-586-9318

Email:

Member Status: Life/Retired

Dr. Ell L. Lee

2361 Lost Dauphin Road

De Pere, WI 54115

Phone: 920-338-8373

Email: skiplee2@new.rr.com

Member Status: Life/Retired

Dr. Scott N. Levin

13502 E Del Timbre Dr

Scottsdale, AZ 85259-6300

Phone: 480-299-6862

Email: neillevsc@gmail.com

Member Status: Life/Retired

Dr. Joseph M. Litow

124 N. Village Way

Jupiter, FL 33458

Phone: 561-575-7011

Email: jmloms@msn.com

Member Status: Life/Retired

Dr. Joseph M. Marsik

N 3621 Oxbow Road

Columbus, WI 53925

Phone:

Email:

Member Status: Life/Retired

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Brent J. Martin

Phone: 608-756-0746

Email:

Member Status: Life/Retired

Dr. Michael W. McFarlane

4731 Via Santa Lucia

Bonita Springs, FL 34134

Phone: 920-233-5667

Email:

Member Status: Life/Retired

Dr. Sheppard B. Mollick

Oral Surgery Associates of Milwaukee

10535 N Port Washington Road, Suite 102

Mequon, WI 53092

Phone: 262-241-0900

Email:

Member Status: Life/Retired

Dr. Charles D. Nyberg

2320 Rivers Edge Dr

Altoona, WI 54720

Phone: 715-514-1991 or 941-460-9506

Email:

Member Status: Life/Retired

Dr. Thomas W. Olsen

Thomas W. Olsen, DDS, S.C.

1824 Pheasant Run Dr

Marshfield, WI 54449

Phone: 715-209-6540

Email: thomaswordenolsen@gmail.com

Member Status: Life/Retired

Dr. Colin James Ott

3109 Christian Ave

Wausau, WI 54401-1409

Phone: 715-845-2622

Email: cjott2@mac.com

Member Status: Life/Retired

Dr. Richard A. Peters

M434 Spruce

Marshfield, WI 54449

Phone: 715-387-5801

Email: chickenmarge@gmail.com

Member Status: Life/Retired

Dr. Albert J. Petrulis

Phone: 608-356-2112

Email:

Member Status: Life/Retired

Dr. Donald F. Pricco

7711 Overlook Dr.

Greendale, WI 53129

Phone: 414-421-3752

Email: d.pricco@att.net

Member Status: Life/Retired

Dr. Thomas W. Radmer

9500-271 Avenue

Trevor, WI 53170

Phone: 262-862-7304

Email:

Member Status: Life/Retired

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Thomas J. Raspanti

19390 Misty Mountain Parkway

Brookfield, WI 53045

Phone: 262-797-9332

Email:

Member Status: Life/Retired

Dr. James J. Roelke

5008 Mirandy Rose Ct.

Middleton, WI 53562

Phone: 208-239-7540

Email: jimjeaneen@msn.com

Member Status: Life/Retired

Dr. John W. Schoonenberg

3039 West Range Line Ct., #102

Mequon, WI 53092

Phone: 262-242-3459

Email:

Member Status: Life/Retired

Dr. Robert J. Schwartz

8843 SE 118th Lane

Summerfield, FL 34491-1629

Phone: 262-377-8820

Email:

Member Status: Life/Retired

Dr. Thomas Seidelmann

1003 Ridgewood Rd.

Duluth, MN 55804

Phone: 218-724-3031

Email:

Member Status: Life/Retired

Dr. Don L. Selmo

Retired

3308 Rosalind Avenue

Racine, WI 53405

Phone: 262-554-6955

Email: dselmo@wi.rr.com

Member Status: Life/Retired

Dr. Richard C. Shukes

3133 North Maple Road

Butternut, WI 54514

Phone: 715-476-3829

Email:

Member Status: Life/Retired

Dr. Thomas J. Skiba

Lake Geneva O & M Surg., Ltd.

690 N. State Route 31

Crystal Lake, IL 60012

Phone: 262-248-8766

Email: tskiba@sbcglobal.net

Member Status: Life/Retired

Dr. Gary W. Sweeney

Center for Oral and Maxillofacial Surgery

20 South Park St., #506

Madison, WI 53715

Phone: 608-256-1961

Email: garysweeneycheshire@gmail.com

Member Status: Life/Retired

Dr. Ronald A. Ward

PO Box 306

Balsam Lake, WI 54810-0306

Phone: 715-485-9590

Email:

Member Status: Life/Retired

Wisconsin Society of Oral and

Maxillofacial Surgeons

2015 Membership

Dr. Roger L. Zimmerman

Oral Surgery Assoc. Ltd.

464 South Hickory Street, #A

Fond du Lac, WI 54935

Phone: 920-923-0111

Email:

Member Status: Life/Retired