Organization Active NPI

North Shore Oral & Maxillofacial Surgery LTD.

  • Oral and Maxillofacial Surgery (Dentist)
  • Buffalo Grove, IL
National Provider Identifier
1699988345
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
21001572 Issued in IL
Legal business name
NORTH SHORE ORAL & MAXILLOFACIAL SURGERY LTD.
Practice address
1411 McHenry Rd Ste 127
Buffalo Grove, IL 60089-1386
Phone
(847) 276-2500
Fax
(847) 276-2501
NPI assigned
May 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott R Frank, DDSNPI 1841363991
Title
President
Phone
(847) 276-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 21001572 IL Primary

Addresses

Primary practice location

1411 McHenry Rd Ste 127
Buffalo Grove, IL 60089-1386

Mailing address

1411 McHenry Rd Ste 127
Buffalo Grove, IL 60089-1386
Phone (847) 276-2500

National Provider Directory

National Provider Directory

Locations

1411 McHenry Rd
Ste 127
Buffalo Grove, IL 60089
Phone (847) 246-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699988345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 MCHENRY RD STE 127",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891386",
            "telephone_number": "847-276-2500",
            "fax_number": "847-276-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MCHENRY RD STE 127",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891386",
            "telephone_number": "847-276-2500",
            "fax_number": "847-276-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE ORAL & MAXILLOFACIAL SURGERY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-276-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "21001572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.