Northshore Oral Surgery Center

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

NORTHSHORE ORAL SURGERY CENTER

Practice address

2300 S Michigan Ave Ste 100
Chicago, IL 60616-2119

Phone

(773) 255-1128

NPI assigned

Jun 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Michael Anthony Guthrie, DDS

Title

President

Phone

(773) 255-1128

Specialties & licenses 1

Addresses

Other names 1

• Genesis Oral Surgery and Implant Center Doing business as

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1952095010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S MICHIGAN AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162119",
            "telephone_number": "872-302-5322",
            "fax_number": "872-282-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S MICHIGAN AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162119",
            "telephone_number": "773-255-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE ORAL SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-255-1128",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Oral Surgery and Implant Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genesis Oral Surgery and Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northshore Health Partners LTD
• Northshore Home Health Corp.
• Northshore Imaging Company
• Northshore Medical Laboratory
• Northshore Medical Product Company
• Northshore Pediatrics Associates,S.C.
• Northshore Physicians LTD.
• Northside Center for Relationship Counseling
• Northside Center for Relationship Counseling
• Northside Chiropractic Inc

• Oral and Maxillofacial Surgery (Dentist) in Chicago, IL
• Providers in Chicago, 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 Sep 8, 2025; 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.