Glenbrook Oral & Maxillofacial Surgery Ltd in Glenview - Oral And Maxillofacial Surgery
Glenbrook Oral & Maxillofacial Surgery Ltd - NPI 1306048780
Glenbrook Oral & Maxillofacial Surgery Ltd is a Oral And Maxillofacial Surgery in Glenview, Illinois. Glenbrook Oral & Maxillofacial Surgery Ltd practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Glenbrook Oral & Maxillofacial Surgery Ltd is 1306048780. The last update date is 2012-11-16.
Glenbrook Oral & Maxillofacial Surgery Ltd's current location address is 3633 W Lake Ave, Glenview, Illinois. You can contact this provider via phone number 8479988959 and fax number 8479988791. The mailing address for Glenbrook Oral & Maxillofacial Surgery Ltd is 3633 W Lake Ave, Glenview, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Glenbrook Oral & Maxillofacial Surgery Ltd |
|---|---|
| Address | 3633 W Lake Ave, Glenview, Illinois |
| Phone Number | 8479988959 |
| Fax Number | 8479988791 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bressman K Jeffery |
| Credentials | DDS |
| Telephone Number | 8479988959 |
NPI Number Detail
| NPI Number | 1306048780 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2012-11-16 |
Provider Mailing Address Detail
| Address | 3633 W Lake Ave |
|---|---|
| City | Glenview |
| State | Illinois (IL) |
| Post Code | 600265805 |
| Phone Number | 8479988959 |
| Fax Number | 8479988791 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 060-005529 |
|
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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What is the Glenbrook Oral & Maxillofacial Surgery Ltd's 1306048780?
The Glenbrook Oral & Maxillofacial Surgery Ltd's NPI (National Provider Identifier) Number is 1306048780. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Glenbrook Oral & Maxillofacial Surgery Ltd?
The Glenbrook Oral & Maxillofacial Surgery Ltd is situated at 3633 W Lake Ave, in the city of Glenview, state of IL, with the zip code 600265805.
What is the Glenbrook Oral & Maxillofacial Surgery Ltd's area of specialization and corresponding taxonomy classification?
The Glenbrook Oral & Maxillofacial Surgery Ltd's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date was the 1306048780 assigned to Glenbrook Oral & Maxillofacial Surgery Ltd?
The Glenbrook Oral & Maxillofacial Surgery Ltd was issued its 1306048780 on 2007-06-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Glenbrook Oral & Maxillofacial Surgery Ltd last refreshed?
The information related to the Glenbrook Oral & Maxillofacial Surgery Ltd, including its address, specialty, and other relevant details, was last updated on 2012-11-16.