Organization Active NPI

Affiliated Oral & Maxillofacial Surgeons LTD

  • Oral and Maxillofacial Surgery Clinic/Center
  • Arlington Heights, IL
National Provider Identifier
1962599605
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
AFFILIATED ORAL & MAXILLOFACIAL SURGEONS LTD
Practice address
3438 N Old Arlington Heights Rd
Arlington Heights, IL 60004
Phone
(847) 392-6700
Fax
(847) 392-6707
NPI assigned
Oct 6, 2006
Last updated
Oct 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Dr. Stuart Dessner, DMDNPI 1801958673
Title
Omf Surgeon President
Phone
(847) 392-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X IL Primary

Addresses

Primary practice location

3438 N Old Arlington Heights Rd
Arlington Heights, IL 60004

Mailing address

3438 N Old Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 392-6700

Other identifiers 1

IdentifierTypeStateIssuer
80016144OtherILBC & BS

National Provider Directory

National Provider Directory

Locations

3438 N Old Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 392-6700

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1962599605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 N OLD ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-392-6700",
            "fax_number": "847-392-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 N OLD ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-392-6700",
            "fax_number": "847-392-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED ORAL & MAXILLOFACIAL SURGEONS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "DESSNER",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "OMF SURGEON PRESIDENT",
        "authorized_official_telephone_number": "847-392-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS",
            "identifier": "80016144",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.