| Oral Facial & Implant Specialists, P.c. | |
|
21660 W Field Pkwy Suite 220 Deer Park IL 60010-7265 | |
| (847) 381-0106 | |
| (847) 381-0265 |
| Full Name | Oral Facial & Implant Specialists, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 21660 W Field Pkwy, Deer Park, Illinois |
| Authorized Official Name and Position | Martin James Zidron (PRESIDENT) |
| Authorized Official Contact | 8473810106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Facial & Implant Specialists, P.c. 21660 W Field Pkwy Suite 220 Deer Park IL 60010-7265 Ph: (847) 381-0106 | Oral Facial & Implant Specialists, P.c. 21660 W Field Pkwy Suite 220 Deer Park IL 60010-7265 Ph: (847) 381-0106 |
| NPI Number | 1659582062 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 07/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659582062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 060001824 (Illinois) | Primary |
Deer Park Dental Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21660 W. Field Parkway, Deer Park, IL 60010 Phone: 847-438-9669 Fax: 847-438-9660 |