| Oral And Facial Surgery Of The Northshore | |
|
4200 Dempster St Skokie IL 60076-2008 | |
| (224) 623-0709 | |
| Not Available |
| Full Name | Oral And Facial Surgery Of The Northshore |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4200 Dempster St, Skokie, Illinois |
| Authorized Official Name and Position | Stephen Martin (ORAL AND MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 4047888520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Facial Surgery Of The Northshore 4200 Dempster St Skokie IL 60076-2008 Ph: (224) 623-0709 | Oral And Facial Surgery Of The Northshore 4200 Dempster St Skokie IL 60076-2008 Ph: (224) 623-0709 |
| NPI Number | 1659216760 |
|---|---|
| Provider Enumeration Date | 04/23/2026 |
| Last Update Date | 04/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659216760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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