Herbert Dennis Stith, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

019.017449 Issued in IL

Practice address

1131 Randall CT
Geneva, IL 60134-3911

Phone

(630) 208-6700

Fax

(630) 208-6709

NPI assigned

Jan 1, 2007

Last updated

Dec 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stith Oral and Maxillofacial Surgery, LTD.

  dba None

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Geneva, IL
  • NPI 1093991721
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1144387275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 RANDALL CT",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343911",
            "telephone_number": "630-208-6700",
            "fax_number": "630-208-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 RANDALL CT",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343911",
            "telephone_number": "630-208-6700",
            "fax_number": "630-208-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITH",
        "first_name": "HERBERT",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "01917449",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IL",
            "license": "019.017449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Stelter, PSY.D
• Cali Stephenson
• Steven M Lewis MD SC
• Emma Kathryn Stevens, LCSW
• Stith Oral and Maxillofacial Surgery, LTD. (None)
• Jena Nicole Stombaugh
• Karen Strawniak, PT
• William Strawniak, PT
• Jon P Strotkamp, DO
• Michael A Stutz, M.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Geneva, IL
• Providers in Geneva, IL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.