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Shady Oak Dental Llc Oral And Maxillofacial Surgeons Of Northwest Il
Oral and Maxillofacial Surgery Clinic/Center in Forreston, Illinois
NPI 1437703113

Shady Oak Dental Llc Oral And Maxillofacial Surgeons Of Northwest Il is a Oral and Maxillofacial Surgery Clinic/Center based in Forreston, IL and is specialized in Oral and Maxillofacial Surgery. Shady Oak Dental Llc Oral And Maxillofacial Surgeons Of Northwest Il practices in Forreston, IL. The NPI Number for Shady Oak Dental Llc Oral And Maxillofacial Surgeons Of Northwest Il is 1437703113 and holds a License No. (Illinois).

The current practice location address for Shady Oak Dental Llc Oral And Maxillofacial Surgeons Of Northwest Il is 208 N Walnut Ave, Forreston, IL and can be reached out via phone at 815-938-2575.

Location: 208 N Walnut Ave, Forreston, IL, 61030-9330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437703113
Provider Name
Shady Oak Dental Llc Oral And Maxillofacial Surgeons Of Northwest Il
Credential
Provider Entity Type
Organization
Address
208 N Walnut Ave, Forreston, IL, 61030-9330
Phone Number
815-938-2575
Fax Number
Provider Enumeration Date
07/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
208 N Walnut Ave
City
Forreston
State
Illinois
Zip
61030-9330
Phone Number
815-938-2575
Fax Number
person
Provider Business Mailing Address Details
Address
208 N Walnut Ave
City
Forreston
State
Illinois
Zip
61030-9330
Phone Number
815-938-2575
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
()
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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