NPI:
1215579008
Provider Name:
MGM19 INC
Doing Business As: MCKNIGHT ORAL, MAXILLOFACIAL AND DENTAL IMPLANT SURGERY
Classification:
Dentist - 1223S0112X
Entity Type:
Organization
Specialization: Oral and Maxillofacial Surgery
Address:
605 COURTYARD DR
SAINT CHARLES, IL
ZIP 60174
Phone:
(630) 377-7077
Get Directions
MGM19 INC is an oral and maxillofacial surgery dentist in Saint Charles, 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. MGM19 INC NPI is 1215579008. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mcknight Oral, Maxillofacial And Dental Implant Surgery.
The provider's business location address is:
605 COURTYARD DR
SAINT CHARLES, IL
ZIP 60174-463
Phone: (630) 377-7077
The provider's authorized official is Matthew Gregory Mcknight .
The authorized official title is Owner/president and has the following contact phone number (630) 377-7077.
The enumeration date for this NPI number is 10/13/2019 and was last updated on 3/12/2024.