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PESKIN ORAL SURGERY LTD. NPI 1649286287


NPI Information

NPI: 1649286287
Provider Name: PESKIN ORAL SURGERY, LTD.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
4711 GOLF RD
SUITE 408
SKOKIE, IL
ZIP 60076
Phone: (847) 676-4590
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PESKIN ORAL SURGERY, LTD. is an oral and maxillofacial surgery dentist in Skokie, IL. The provider is an oral and maxillofacial surgery dentist specialized in 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. PESKIN ORAL SURGERY, LTD. NPI is 1649286287. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4711 GOLF RD
SUITE 408
SKOKIE, IL
ZIP 60076-224
Phone: (847) 676-4590
Fax: (847) 676-4695

The provider's authorized official is Kenneth Howard Peskin .
The authorized official title is President/owner-oral Surgeon and has the following contact phone number (847) 676-4590.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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