Organization · Type 2 NPI
The Center for Oral, Maxillofacial & Implant Surgery
Oral and Maxillofacial Surgery (Dentist) · Evanston, IL
NPI number
1205095387
Active
Practice location
500 Davis St 509
Evanston, IL 60201
Fax (847) 869-9323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 060.001866021.001194 (IL) |
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.
About NPI 1205095387
The Center for Oral, Maxillofacial & Implant Surgery's National Provider Identifier is 1205095387, issued on Jun 4, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Evanston, IL. The record was last updated on May 9, 2025.