Individual provider · Type 1 NPI
John Travis Thompson, DDS
Oral and Maxillofacial Surgery (Dentist) · Deer Park, IL
NPI number
1558324459
Active
Practice location
21660 W Field Pkwy, Suite 220
Deer Park, IL 60010-7265
Fax (847) 381-0265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 19024612 (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.
15 other providers at this address
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- Citadel Health & Wellness Limited PCPrimary Care Nurse Practitioner Deer Park, IL NPI 1740156751
- Medicaid Support, LLCCase Management Agency Deer Park, IL NPI 1861242042
- Oral Facial & Implant Specialists, P.c.Oral and Maxillofacial Surgery (Dentist) Deer Park, IL NPI 1659582062
- Seraphic Family Care and Wellness LLCPrimary Care Clinic/Center Deer Park, IL NPI 1548155765
- Ankita Dalal, MDFamily Medicine Physician Deer Park, IL NPI 1619311644
- Danesha Howard, FNP-BCFamily Nurse Practitioner Deer Park, IL NPI 1255760799
- Dominno Caroline Fogle, M.M.S., PA-CMedical Physician Assistant Deer Park, IL NPI 1255615365
- Faheem Unisa Syed, APNPFamily Nurse Practitioner Deer Park, IL NPI 1649719618
- Irina Frenkel, MSN, FNP-BCFamily Nurse Practitioner Deer Park, IL NPI 1194114223
- Kelsey L. Proehl, FNP-BCFamily Nurse Practitioner Deer Park, IL NPI 1699315697
- Martin J. Zidron, DDSOral and Maxillofacial Pathology Dentistry Deer Park, IL NPI 1164462362
About NPI 1558324459
John Travis Thompson, DDS's National Provider Identifier is 1558324459, issued on Apr 11, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Deer Park, IL. The record was last updated on Jul 24, 2012.