Wisdom Teeth and Beyond Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

WISDOM TEETH AND BEYOND ORAL SURGERY

Practice address

4 N Deer Point Rd Ste 1008
Hainesville, IL 60030-3814

Phone

(847) 388-6098

Fax

(847) 388-6099

NPI assigned

Mar 9, 2026

Last updated

Mar 9, 2026By 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

Dr. Alejandro Valladares, DDSNPI 1891995593

Title

Owner

Phone

(978) 855-6659

Specialties & licenses 1

Addresses

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.

• Alejandro Josue Valladares, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fitchburg, MA
  • NPI 1891995593
  NPD Authorized official

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1891641148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 N DEER POINT RD STE 1008",
            "city": "HAINESVILLE",
            "state": "IL",
            "postal_code": "600303814",
            "telephone_number": "847-388-6098",
            "fax_number": "847-388-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 N DEER POINT RD STE 1008",
            "city": "HAINESVILLE",
            "state": "IL",
            "postal_code": "600303814",
            "telephone_number": "847-388-6098",
            "fax_number": "847-388-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM TEETH AND BEYOND ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "VALLADARES",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-855-6659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juamona Carol Simmons
• Melissa Voytilla
• Walgreen Co (Walgreens #07824)
• Erin Walsh, MM, MT-BC
• Peggy Suzanne Welch
• Zigma Visiting Physician, LLC

• Oral and Maxillofacial Surgery Clinic/Center in Hainesville, IL
• Providers in Hainesville, IL by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.