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AFFILIATED ORAL & MAXILLOFACIAL SURGEONS LTD NPI 1962599605


NPI Information

NPI: 1962599605
Provider Name: AFFILIATED ORAL & MAXILLOFACIAL SURGEONS LTD
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
3438 N OLD ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS, IL
ZIP 60004
Phone: (847) 392-6700
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AFFILIATED ORAL & MAXILLOFACIAL SURGEONS LTD is an oral and maxillofacial surgery clinic center in Arlington Heights, 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. AFFILIATED ORAL & MAXILLOFACIAL SURGEONS LTD NPI is 1962599605. The provider is registered as an organization entity type.

The provider's business location address is:

3438 N OLD ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS, IL
ZIP 60004
Phone: (847) 392-6700
Fax: (847) 392-6707

The provider's authorized official is Stuart Dessner .
The authorized official title is Omf Surgeon President and has the following contact phone number (847) 392-6700.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 10/7/2008.


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
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryILLINOISYes

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
1T37731MEDICARE UPIN
280016144OTHERILLINOISBC & BS

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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