Organization · Type 2 NPI
Suburban Family Dental
Oral and Maxillofacial Surgery (Dentist) · Des Plaines, IL
Practice location
645 W Golf Rd
Des Plaines, IL 60016-2462
Fax (847) 640-2599
Mailing address
645 West Golf Road
Des Plaines, IL 60016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 019022514 (IL) |
| General Practice Dentistry | 1223G0001X | 019016362 (IL) |
| Periodontics | 1223P0300X | 019022485 (IL) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 019016834 (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.
2 other providers at this address
About NPI 1295978104
Suburban Family Dental's National Provider Identifier is 1295978104, issued on Apr 8, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Des Plaines, IL. The record was last updated on Apr 8, 2009.