Oral & Maxillofacial Surgeons Of Lake County, P.C. in Gurnee - Oral And Maxillofacial Pathology

Oral & Maxillofacial Surgeons Of Lake County, P.C. - NPI 1023132859

Oral & Maxillofacial Surgeons Of Lake County, P.C. is a Oral And Maxillofacial Pathology in Gurnee, Illinois. Oral & Maxillofacial Surgeons Of Lake County, P.C. practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Oral & Maxillofacial Surgeons Of Lake County, P.C. is 1023132859. The last update date is 2008-04-09.

Oral & Maxillofacial Surgeons Of Lake County, P.C.'s current location address is 202 S Greenleaf St, Gurnee, Illinois. You can contact this provider via phone number 8476232830 and fax number 8476231534. The mailing address for Oral & Maxillofacial Surgeons Of Lake County, P.C. is 202 S Greenleaf St, Gurnee, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Oral & Maxillofacial Surgeons Of Lake County, P.C.
Address 202 S Greenleaf St, Gurnee, Illinois
Phone Number 8476232830
Fax Number 8476231534
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Latocha David Fabian
Credentials D.D.S.
Telephone Number 8476232830

NPI Number Detail

NPI Number 1023132859
Provider Enumeration Date 2007-03-19
Last Updated Date 2008-04-09

Provider Mailing Address Detail

Address 202 S Greenleaf St
City Gurnee
State Illinois (IL)
Post Code 600313399
Phone Number 8476232830
Fax Number 8476231534

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

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FAQs about Oral & Maxillofacial Surgeons Of Lake County, P.C.

What is the unique identifier code issued to Oral & Maxillofacial Surgeons Of Lake County, P.C. by the Centers for Medicare & Medicaid Services (CMS)?

The Oral & Maxillofacial Surgeons Of Lake County, P.C. has been assigned the NPI (National Provider Identifier) 1023132859. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Oral & Maxillofacial Surgeons Of Lake County, P.C. located?

The Oral & Maxillofacial Surgeons Of Lake County, P.C. is located at 202 S Greenleaf St, Gurnee, IL 600313399.

What is Oral & Maxillofacial Surgeons Of Lake County, P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Oral & Maxillofacial Surgeons Of Lake County, P.C.'s area of specialization is Oral And Maxillofacial Pathology, and the corresponding taxonomy code that categorizes this field of practice is 1223P0106X.

On what date did the Centers for Medicare & Medicaid Services assign the 1023132859 to Oral & Maxillofacial Surgeons Of Lake County, P.C.?

The Centers for Medicare & Medicaid Services assigned the 1023132859 to Oral & Maxillofacial Surgeons Of Lake County, P.C. on 2007-03-19.

As of what date were the Oral & Maxillofacial Surgeons Of Lake County, P.C.'s details last updated?

The information pertaining to the Oral & Maxillofacial Surgeons Of Lake County, P.C., including its address, specialty, and other details, was most recently updated on 2008-04-09.

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