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

Periodontal Medicine and Surgical Specialists, LLC

Organization Periodontics · NPI 1811036718

Periodontal Medicine and Surgical Specialists, LLC is a Periodontics in Oakbrook Terrace, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1S224 Summit Ave Ste 205
Oakbrook Terrace, IL 60181-3983
Phone: (630) 627-3930
Fax: (630) 627-2148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 060-003629 (IL)
Periodontics Taxonomy 1223P0300X · Licence 019024971 (IL)
Periodontics Taxonomy 1223P0300X · Licence 019014972 (IL)
Periodontics Taxonomy 1223P0300X · Licence 019030200 (IL)

Record details

NPI number1811036718
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Mandelaris — Owner Periodontist · (630) 627-3930
Other names Periodontal Medicine And Surgical Specialists, Ltd
NPI enumeratedFebruary 6, 2007
Last updated in NPPESDecember 16, 2016
Mailing address1s224 Summit Ave, Suite 205, Oakbrook Terrace, IL 60181-3983

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