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

Oral and Maxillofacial Surgery Affiliates Ltd

Organization Oral and Maxillofacial Pathology Dentistry · NPI 1982822912

Oral and Maxillofacial Surgery Affiliates Ltd is an Oral and Maxillofacial Pathology Dentistry in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 S Washington St Ste 101
Park Ridge, IL 60068-4203
Phone: (847) 696-4848
Fax: (847) 696-1609
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X (IL)

Record details

NPI number1982822912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Sisto — President · (847) 696-4848
NPI enumeratedApril 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address111 S Washington Ave, Ste 101, Park Ridge, IL 60068-4203