Individual provider · Type 1 NPI
Kenneth Howard Peskin, DDS
Oral and Maxillofacial Surgery (Dentist) · Skokie, IL
NPI number
1619983244
Active
Practice location
4711 Golf Rd, Suite 408
Skokie, IL 60076-1224
Fax (847) 676-4695
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
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.
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About NPI 1619983244
Kenneth Howard Peskin, DDS's National Provider Identifier is 1619983244, issued on Aug 1, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Skokie, IL. The record was last updated on Jul 8, 2007.