Organization · Type 2 NPI

Periodontal Medicine and Surgical Specialists, LLC

Dental Clinic/Center · Oakbrook Terrace, IL

NPI number 1811036718 Active

Practice location

1S224 Summit Ave, Suite 205
Oakbrook Terrace, IL 60181-3983

Call (630) 627-3930 Map

Fax (630) 627-2148

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300X019024971 (IL)
Periodontics 1223P0300X019014972 (IL)
Periodontics 1223P0300X019030200 (IL)
Dental Clinic/Center Primary 261QD0000X060-003629 (IL)

Dental Clinic/Center: Definition to come...

15 other providers at this address

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About NPI 1811036718

Periodontal Medicine and Surgical Specialists, LLC's National Provider Identifier is 1811036718, issued on Feb 6, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Oakbrook Terrace, IL. The record was last updated on Dec 16, 2016.