Organization · Type 2 NPI
North Suburban Oral Surgery, Ltd
Oral and Maxillofacial Surgery (Dentist) · Northbrook, IL
NPI number
1063695104
Active
Practice location
1240 Meadow Rd, Suite 300
Northbrook, IL 60062-8300
Fax (847) 272-9551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3 other providers at this address
About NPI 1063695104
North Suburban Oral Surgery, Ltd's National Provider Identifier is 1063695104, issued on Dec 12, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Northbrook, IL. The record was last updated on Dec 12, 2007.