Glenbrook Oral & Maxillofacial Surgery LTD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

060-005529 Issued in IL

Legal business name

GLENBROOK ORAL & MAXILLOFACIAL SURGERY LTD

Practice address

3633 W Lake Ave
Suite 100
Glenview, IL 60026-5805

Phone

(847) 998-8959

Fax

(847) 998-8791

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery K Bressman, DDS

Title

President

Phone

(847) 998-8959

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Julie Laverdiere Beck, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Glenview, IL
  • NPI 1548283492

  Oral and Maxillofacial Surgery

  NPD (past)
• Harshiv J Vyas, B.D.S., M.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Orland Park, IL
  • NPI 1356606255
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1306048780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE",
            "address_2": "SUITE 100",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265805",
            "telephone_number": "847-998-8959",
            "fax_number": "847-998-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE",
            "address_2": "SUITE 100",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265805",
            "telephone_number": "847-998-8959",
            "fax_number": "847-998-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENBROOK ORAL & MAXILLOFACIAL SURGERY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "BRESSMAN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-998-8959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "060-005529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Lake Psychological Services, LTD
• Glen Medical Associates SC
• Glen Perio
• Glen Ridge Associates II Limited Partnership
• Glenbrook Family Dental
• Glenbrook Pediatrics, S.C.
• Glengrove Dental Associates
• Glenlake Dental Care PC
• Glenn Counseling Center
• Elizabeth Rebecca Glenn, COTA/L

• Oral and Maxillofacial Surgery (Dentist) in Glenview, IL
• Providers in Glenview, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.