PESKIN ORAL SURGERY LTD. NPI 1649286287

NPI Information

  • NPI: 1649286287
  • Provider Name: PESKIN ORAL SURGERY, LTD.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 4711 GOLF RD
    SUITE 408
    SKOKIE, IL
    ZIP 60076
  • Phone: (847) 676-4590

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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