The Centre for Oral Surgery in Joliet, Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

THE CENTRE FOR ORAL SURGERY IN JOLIET, INC.

Doing business as

TheWisdomToothDOC

Practice address

1404 Aquarius Cir Ste a
Ottawa, IL 61350-8914

Phone

(815) 324-4470

Fax

(815) 324-4474

NPI assigned

May 3, 2023

Last updated

May 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James John Babiuk, DDS

Title

Doctor of Dental Surgery

Phone

(815) 324-4470

Specialties & licenses 1

Addresses

Other names 1

• TheWisdomToothDOC Doing business as

Tax ID family

The Centre for Oral Surgery in Joliet Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Centre for Oral Surgery in Joliet, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Joliet, IL
  • NPI 1417158320
  NPD tax ID
• The Centre for Oral Surgery in Joliet, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Joliet, IL
  • NPI 1710462130
  NPD tax ID

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1275222432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443248",
            "telephone_number": "952-653-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 AQUARIUS CIR STE A",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613508914",
            "telephone_number": "815-324-4470",
            "fax_number": "815-324-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTRE FOR ORAL SURGERY IN JOLIET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "BABIUK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR OF DENTAL SURGERY",
        "authorized_official_telephone_number": "815-324-4470",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TheWisdomToothDOC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Elissa Tarr, MPT
• Dana Adair Taylor, LCSW
• Kimberly Taylor, LPTA
• Melissa Terry, PH.D.
• Alyssa Testin, SLP
• The Hair Toss Boss and Company (Luxe Medi Wigs)
• Alison Theisinger, DPT, ATC
• David Gerard Thompson, M.D.
• Jackie L Thompson, MA-CCC-A
• Samantha Thompson

• Non-Pharmacy Dispensing Site in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Non-Pharmacy Dispensing Site in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.