Organization · Type 2 NPI
Homewood Oral Surgery PC
Oral and Maxillofacial Surgery (Dentist) · Homewood, IL
NPI number
1154598902
Active
Practice location
2158 W. 183rd Street
Homewood, IL 60430-3238
Fax (708) 798-4963
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 019019289 (IL) |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 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.
Other oral and maxillofacial surgery (dentist) providers in Homewood
About NPI 1154598902
Homewood Oral Surgery PC's National Provider Identifier is 1154598902, issued on May 12, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Homewood, IL. The record was last updated on Aug 11, 2025.