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NORTHWEST ORAL & MAXILLOFACIAL SURGERY INC NPI 1811015084


NPI Information

NPI: 1811015084
Provider Name: NORTHWEST ORAL & MAXILLOFACIAL SURGERY INC
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
1600 W CENTRAL RD
ARLINGTON HEIGHTS, IL
ZIP 60005
Phone: (847) 392-6220
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NORTHWEST ORAL & MAXILLOFACIAL SURGERY INC is a dentist in Arlington Heights, IL. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. NORTHWEST ORAL & MAXILLOFACIAL SURGERY INC NPI is 1811015084. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1600 W CENTRAL RD
ARLINGTON HEIGHTS, IL
ZIP 60005
Phone: (847) 392-6220
Fax: (847) 392-6236

The provider's authorized official is Matthew E Gauthier .
The authorized official title is Oral Surgeon and has the following contact phone number (847) 392-6220.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 10/13/2011.


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
1122300000XDentist019019734ILLINOISNo
2122300000XDentist019015876ILLINOISNo
3122300000XDentist019025795ILLINOISNo
41223S0112XDentistOral and Maxillofacial Surgery021001087ILLINOISNo
51223S0112XDentistOral and Maxillofacial Surgery021001407ILLINOISNo
61223S0112XDentistOral and Maxillofacial Surgery021001157ILLINOISNo
71223S0112XDentistOral and Maxillofacial Surgery021002123ILLINOISNo
8122300000XDentist019016047ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T38369MEDICARE UPIN
2T38270MEDICARE UPIN
3U95172MEDICARE UPIN
4U11349MEDICARE UPIN

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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