Organization · Type 2 NPI

Lakeside Oral & Facial Surgery Institute

Oral and Maxillofacial Surgery Clinic/Center · Evanston, IL

NPI number 1205288982 Active

Practice location

2500 Ridge Ave, Suite 302
Evanston, IL 60201-2455

Call (847) 328-8899 Map

Fax (847) 563-1350

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112X021002718 (IL)

Oral and Maxillofacial Surgery Clinic/Center: 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.

42 other providers at this address

About NPI 1205288982

Lakeside Oral & Facial Surgery Institute's National Provider Identifier is 1205288982, issued on Jul 6, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Evanston, IL. The record was last updated on Apr 19, 2018.