Kloberdanz Oral Surgery and Dental Implants P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

KLOBERDANZ ORAL SURGERY AND DENTAL IMPLANTS P.C.

Practice address

2580 Foxfield Rd Ste 100
St Charles, IL 60174-1411

Phone

(630) 377-7077

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lori White

Title

Office Manager

Phone

(630) 377-7077

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brian Kloberdanz, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Dekalb, IL
  • NPI 1154474328
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1811040298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 FOXFIELD RD STE 100",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741411",
            "telephone_number": "630-377-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 FOXFIELD RD STE 100",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741411",
            "telephone_number": "630-377-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLOBERDANZ ORAL SURGERY AND DENTAL IMPLANTS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-377-7077",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seong Kitsos, CPM
• Kyrie E Kleinfelter, DC
• David Joseph Klemm, LPC
• Heather Klemm
• Kloberdanz Oral Surgery and Dental Implants P.C.
• Catarina Kloskowski
• Sarah Knighton, APRN, CNP
• Martha Joellyn Knop, RPH
• Kalen Thomas Knull, P.T.
• William H Kobak, M.D.

• Oral and Maxillofacial Surgery (Dentist) in St Charles, IL
• Providers in St Charles, 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 5, 2015; 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.