NPI 1992978852

Maxillofacial and Facial Aesthetic Surgery

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

Practice location

Address: 426 S 3rd St, Geneva, IL 60134-2708
Phone: (630) 232-9090
Fax: (630) 232-9094

Authorised official

Name: Kevin Ray Haddle
Title: Physician Owner
Phone: (630) 232-9090

Registered specialties (2)

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Illinois →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X

Other Dentist providers in Illinois →

Registry record

NPI: 1992978852
Entity type: Organization
NPI issued: 10 Apr 2008
Record last updated: 10 Apr 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.