Kankakee Valley Oral Maxillofacial Surgery PC
Kankakee Valley Oral Maxillofacial Surgery PC is an Oral and Maxillofacial Surgery (Dentist) in Bourbonnais, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
31 Briarcliff Professional CtrBourbonnais, IL 60914
Phone: (815) 933-0990
Fax: (815) 933-0990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X |
|---|
Record details
| NPI number | 1245822162 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ineke Basile — Office Manager · (815) 933-0990 |
| NPI enumerated | February 11, 2021 |
| Last updated in NPPES | February 11, 2021 |
| Certification date | January 22, 2021 |
| Mailing address | 31 Briarcliff Professional Ctr., Bourbonnais, IL 60914 |
Other providers in Bourbonnais
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Dr. James Matthew Adams, DDS
750 Almar Pkwy Ste 102, Bourbonnais, IL 60914-2315 · (815) 939-7136
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Drs Slaby, Adams and Tietjens, Ltd
750 Almar Pkwy Ste 102, Bourbonnais, IL 60914-2315 · (815) 939-7136
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Dr. Christopher Thomas Powell, DDS
31 Briarcliff Prof Ctr, Bourbonnais, IL 60914-1775 · (815) 933-0990
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Edward Irwin Slaby, DDS
750 Almar Pkwy Ste 102, Bourbonnais, IL 60914-2315 · (815) 939-7136
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Kiiri Tamm Tietjens, DDS
750 Almar Pkwy Ste 102, Bourbonnais, IL 60914-2315 · (815) 939-7136