Organization · Type 2 NPI

Illinois Oral and Maxillofacial Surgery

Oral and Maxillofacial Surgery (Dentist) · Geneva, IL

NPI number 1780456616 Active

Practice location

426 S 3rd St
Geneva, IL 60134-2854

Fax (630) 232-9094

Mailing address

15170 N Florida Ave
Tampa, FL 33613-1229

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone 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.

4 other providers at this address

About NPI 1780456616

Illinois Oral and Maxillofacial Surgery's National Provider Identifier is 1780456616, issued on Oct 24, 2023. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Geneva, IL. The record was last updated on Oct 25, 2023.