Grayslake Oral And Maxillofacial Surgery in Grayslake - Oral And Maxillofacial Surgery
Grayslake Oral And Maxillofacial Surgery - NPI 1871767780
Grayslake Oral And Maxillofacial Surgery is a Oral And Maxillofacial Surgery in Grayslake, Illinois. Grayslake Oral And Maxillofacial Surgery practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Grayslake Oral And Maxillofacial Surgery is 1871767780. The last update date is 2008-04-22.
Grayslake Oral And Maxillofacial Surgery's current location address is 115 Commerce Dr, Grayslake, Illinois. You can contact this provider via phone number 8475488800 and fax number 8475488802. The mailing address for Grayslake Oral And Maxillofacial Surgery is 115 Commerce Dr, Grayslake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grayslake Oral And Maxillofacial Surgery |
|---|---|
| Address | 115 Commerce Dr, Grayslake, Illinois |
| Phone Number | 8475488800 |
| Fax Number | 8475488802 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Babiuk Marlin Jeffrey |
| Credentials | D.D.S. |
| Telephone Number | 8475488800 |
NPI Number Detail
| NPI Number | 1871767780 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | 115 Commerce Dr |
|---|---|
| City | Grayslake |
| State | Illinois (IL) |
| Post Code | 600307812 |
| Phone Number | 8475488800 |
| Fax Number | 8475488802 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 019-022879 |
|
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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Grayslake Oral And Maxillofacial Surgery by the Centers for Medicare & Medicaid Services?
The Grayslake Oral And Maxillofacial Surgery has been issued the NPI (National Provider Identifier) 1871767780 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Grayslake Oral And Maxillofacial Surgery is located?
The Grayslake Oral And Maxillofacial Surgery is situated at the following address: 115 Commerce Dr, Grayslake, IL, 600307812.
What is the area of specialization for Grayslake Oral And Maxillofacial Surgery, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Grayslake Oral And Maxillofacial Surgery is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
When was the Grayslake Oral And Maxillofacial Surgery's 1871767780 issued?
The Grayslake Oral And Maxillofacial Surgery's 1871767780 was issued on 2008-04-22.
When was the information regarding Grayslake Oral And Maxillofacial Surgery most recently updated?
The details pertaining to the Grayslake Oral And Maxillofacial Surgery, including its address, specialty, and other relevant information, were last refreshed on 2008-04-22.