Organization Active NPI

Homewood Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Homewood, IL
National Provider Identifier
1154598902
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
019019289 Issued in IL
Legal business name
HOMEWOOD ORAL SURGERY PC
Practice address
2158 W. 183Rd Street
Homewood, IL 60430-3238
Phone
(708) 798-4730
Fax
(708) 798-4963
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Dr. George E Morris Jr., DDS
Title
Owner
Phone
(708) 798-4730

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 019019289 IL Primary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X

Addresses

Primary practice location

2158 W. 183Rd Street
Homewood, IL 60430-3238

Mailing address

2158 W. 183Rd Street
Homewood, IL 60430-3238
Phone (708) 798-4730

Other names 1

  • George E Morris Jr DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

2158 183rd St
Homewood, IL 60430
Phone (708) 798-4730

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1154598902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 W. 183RD STREET",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303238",
            "telephone_number": "708-798-4730",
            "fax_number": "708-798-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 W. 183RD STREET",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303238",
            "telephone_number": "708-798-4730",
            "fax_number": "708-798-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEWOOD ORAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-798-4730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019019289",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George E Morris Jr DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.