Organization · Type 2 NPI
Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il
Oral and Maxillofacial Surgery Clinic/Center · Forreston, IL
Practice location
208 N Walnut Ave
Forreston, IL 61030-9330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | None listed |
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.
2 other providers at this address
About NPI 1437703113
Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il's National Provider Identifier is 1437703113, issued on Jul 30, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Forreston, IL. The record was last updated on Jul 30, 2019.