Individual provider · Type 1 NPI

Timothy E. Kabot, DDS

Oral and Maxillofacial Surgery (Dentist) · Libertyville, IL

NPI number 1629193040 Active

Practice location

1025 W Park Ave
Libertyville, IL 60048-2550

Fax (847) 367-8656

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X021-001290 (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.

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About NPI 1629193040

Timothy E. Kabot, DDS's National Provider Identifier is 1629193040, issued on Mar 21, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Libertyville, IL. The record was last updated on Jul 8, 2007.