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

The Center for Oral, Maxillofacial & Implant Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1205095387

The Center for Oral, Maxillofacial & Implant Surgery is an Oral and Maxillofacial Surgery (Dentist) in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008

Practice location Address checks out

500 Davis St 509
Evanston, IL 60201
Phone: (847) 869-9303
Fax: (847) 869-9323
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 060.001866021.001194 (IL)

Record details

NPI number1205095387
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Holly Wales — Practice Practice Manager · (847) 869-1080
NPI enumeratedJune 4, 2008
Last updated in NPPESMay 9, 2025
Mailing address500 Davis St 509, Evanston, IL 60201

Other providers in Evanston