Organization · Type 2 NPI

Hpoms

Oral and Maxillofacial Surgery Clinic/Center · Highland Park, IL

NPI number 1588070148 Active

Practice location

1893 Sheridan Rd Suite 311
Highland Park, IL 60035

Fax (847) 433-2090

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center 261QD0000X019.022948 (IL)
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112X021.002059 (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.

About NPI 1588070148

Hpoms's National Provider Identifier is 1588070148, issued on Jul 3, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Highland Park, IL. The record was last updated on Jul 3, 2014.