Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Libertyville Oral Surgery PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1891477352

Libertyville Oral Surgery PC is an Oral and Maxillofacial Surgery (Dentist) in Libertyville, Illinois. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1236 American Way
Libertyville, IL 60048-3936
Phone: (847) 367-8656
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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 number1891477352
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLibertyville Oral Surgery PC
Authorized official Bryan Vanoven — Oral Maxillofacial Surgeon · (847) 367-8656
Other names Libertyville Oral Surgery And Dental Implants
NPI enumeratedAugust 3, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address1236 American Way, Libertyville, IL 60048-3936

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