Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il
Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il is an Oral and Maxillofacial Surgery Clinic/Center in Forreston, Illinois. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
208 N Walnut AveForreston, IL 61030-9330
Phone: (815) 938-2575
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery Clinic/Center (primary) | Taxonomy 261QS0112X |
|---|
Record details
| NPI number | 1437703113 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Scott Bares — President · (815) 938-2575 |
| NPI enumerated | July 30, 2019 |
| Last updated in NPPES | July 30, 2019 |
| Mailing address | 208 N Walnut Ave, Forreston, IL 61030-9330 |