NPI 1093991721

Stith Oral and Maxillofacial Surgery, LTD.

Organisation Oral & Maxillofacial Surgery (D.M.D.) Geneva, IL

Practice location

Address: 1131 Randall CT, Geneva, IL 60134-3911
Phone: (630) 208-6700
Fax: (630) 208-6709

Authorised official

Name: Herbert Dennis Stith
Title: Oral and Maxillofacial Surgeon
Phone: (630) 208-6700

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 019017449 (IL)

Other Oral & Maxillofacial Surgery providers in Illinois →

Registry record

NPI: 1093991721
Entity type: Organization
NPI issued: 11 Jan 2008
Record last updated: 11 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.