institution
Lakeside Oral & Facial Surgery Institute
Oral and Maxillofacial Surgery Clinic/Center in Evanston, Illinois
NPI 1205288982

Lakeside Oral & Facial Surgery Institute is a Oral and Maxillofacial Surgery Clinic/Center based in Evanston, IL and is specialized in Oral and Maxillofacial Surgery. Lakeside Oral & Facial Surgery Institute practices in Evanston, IL. The NPI Number for Lakeside Oral & Facial Surgery Institute is 1205288982 and holds a License No. 021002718 (Illinois).

The current practice location address for Lakeside Oral & Facial Surgery Institute is 2500 Ridge Ave, Evanston, IL and can be reached out via phone at 847-328-8899 and via fax at 847-563-1350.

Location: 2500 Ridge Ave, Evanston, IL, 60201-2455
institution
Provider Profile Details
NPI Number
1205288982
Provider Name
Lakeside Oral & Facial Surgery Institute
Credential
Provider Entity Type
Organization
Address
2500 Ridge Ave, Evanston, IL, 60201-2455
Phone Number
847-328-8899
Fax Number
847-563-1350
Provider Enumeration Date
07/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 Ridge Ave
City
State
Zip
60201-2455
Phone Number
847-328-8899
Fax Number
847-563-1350
person
Provider Business Mailing Address Details
Address
2500 Ridge Ave
City
State
Zip
60201-2455
Phone Number
847-328-8899
Fax Number
847-563-1350
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
021002718 (Illinois)
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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