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NAPERVILLE ORAL SURGERY LLC NPI 1962837047


NPI Information

NPI: 1962837047
Provider Name: NAPERVILLE ORAL SURGERY, LLC
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 14D2207241

Address:
605 S WASHINGTON ST
NAPERVILLE, IL
ZIP 60540
Phone: (630) 708-6637
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NAPERVILLE ORAL SURGERY, LLC is an oral and maxillofacial surgery clinic center in Naperville, IL. The provider is 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. NAPERVILLE ORAL SURGERY, LLC NPI is 1962837047. The provider is registered as an organization entity type.

The provider's business location address is:

605 S WASHINGTON ST
NAPERVILLE, IL
ZIP 60540-643
Phone: (630) 708-6637

The provider's authorized official is Joshua Foxson .
The authorized official title is Owner and has the following contact phone number (630) 708-6637.

The CLIA number assigned to this NPI record is 14D2207241 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/9/2013 and was last updated on 5/4/2017.


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
1261QD0000XClinic/CenterDental019029110ILLINOISNo
2261QS0112XClinic/CenterOral and Maxillofacial Surgery021002503ILLINOISYes

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: 11/14/2023

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