Oral Facial & Implant Specialists, P.C. in Deer Park - Oral And Maxillofacial Surgery

Oral Facial & Implant Specialists, P.C. - NPI 1659582062

Oral Facial & Implant Specialists, P.C. is a Oral And Maxillofacial Surgery in Deer Park, Illinois. Oral Facial & Implant Specialists, P.C. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Oral Facial & Implant Specialists, P.C. is 1659582062. The last update date is 2012-07-24.

Oral Facial & Implant Specialists, P.C.'s current location address is 21660 W Field Pkwy, Deer Park, Illinois. You can contact this provider via phone number 8473810106 and fax number 8473810265. The mailing address for Oral Facial & Implant Specialists, P.C. is 21660 W Field Pkwy, Deer Park, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Oral Facial & Implant Specialists, P.C.
Address 21660 W Field Pkwy, Deer Park, Illinois
Phone Number 8473810106
Fax Number 8473810265
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Zidron James Martin
Credentials D.D.S.
Telephone Number 8473810106

NPI Number Detail

NPI Number 1659582062
Provider Enumeration Date 2007-05-25
Last Updated Date 2012-07-24

Provider Mailing Address Detail

Address 21660 W Field Pkwy
City Deer Park
State Illinois (IL)
Post Code 600107265
Phone Number 8473810106
Fax Number 8473810265

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 60001824
Definition:
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.

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FAQs about Oral Facial & Implant Specialists, P.C.

What is the unique 10-digit identification code issued to Oral Facial & Implant Specialists, P.C. by the Centers for Medicare & Medicaid Services?

The Oral Facial & Implant Specialists, P.C. has been assigned the NPI (National Provider Identifier) 1659582062 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Oral Facial & Implant Specialists, P.C.'s facilities are situated?

The facilities of Oral Facial & Implant Specialists, P.C. are physically located at the following address: 21660 W Field Pkwy, Deer Park, IL, 600107265.

What is the area of specialization for Oral Facial & Implant Specialists, P.C., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Oral Facial & Implant Specialists, P.C. is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.

On what date did Oral Facial & Implant Specialists, P.C. receive its 1659582062 assignment from the Centers for Medicare & Medicaid Services?

The Oral Facial & Implant Specialists, P.C. was assigned its 1659582062 on 2007-05-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Oral Facial & Implant Specialists, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Oral Facial & Implant Specialists, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-07-24.

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