ASSOCIATES FOR ORAL MAXILLOFACIAL AND IMPLANT SURGERY LTD
NPI 1114911872
Dentist - Oral and Maxillofacial Surgery in Mt Prospect, IL

Q: What is Associates For Oral Maxillofacial And Implant Surgery Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since September 08, 2005CLIA 14D2056203 · Waiver

10 N RIDGE AVE, MT PROSPECT, IL 60056(847) 255-7080(847) 255-6931 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Associates For Oral Maxillofacial And Implant Surgery Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASSOCIATES FOR ORAL MAXILLOFACIAL AND IMPLANT SURGERY LTD (NPI 1114911872) is a healthcare organization registered as an oral and maxillofacial surgery in Mt Prospect, Illinois and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists Dennis J Spinazze, Oral Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1114911872

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameASSOCIATES FOR ORAL MAXILLOFACIAL AND IMPLANT SURGERY LTD

Location Address10 N RIDGE AVEMt Prospect, IL 60056-2428

Mailing Address10 N Ridge AveMt Prospect, IL 60056-2428 · (847) 255-7080 · Fax (847) 255-6931

Phone(847) 255-7080

Fax(847) 255-6931

Organization SubpartNo

Authorized OfficialDennis J SpinazzeOral Maxillofacial Surgeon · (847) 255-7080

Enumeration DateSeptember 8, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1114911872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

10 N RIDGE AVE, Mt Prospect, IL 60056

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Associates For Oral Maxillofacial And Implant Surgery Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Associates For Oral Maxillofacial And Implant Surgery Ltd, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Mark Spinazze, DDS

Maxillofacial Surgery

NPI 1417146838

10 N RIDGE AVE
Mount Prospect, IL 60056

(847) 255-7080

✔ PECOS✔ Accepts MedicareSame address

Russel Spinazze, DDS

Maxillofacial Surgery

NPI 1306830997

10 N RIDGE AVE
Mt Prospect, IL 60056

(847) 255-7080

✔ PECOS✔ Accepts MedicareSame address

Andrew Sugar

Oral Surgery

NPI 1043674021

148 N ADDISON AVE
Elmhurst, IL 60126

(630) 425-4488

✔ PECOS11 mi

Eliza Drobny, DDS, MD

Oral Surgery

NPI 1699904615

UNMC OMFS 985180 NEBRASKA MEDICAL CTR
Omaha, NE 68198

(402) 559-6445

✔ PECOS✔ Accepts Medicare429 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2056203

Assocs For Oral, Maxillofacial And Implant Surgery · Mount Prospect, IL

Active · expires Mar 21, 2027

CLIA Number14D2056203

Laboratory TypePhysician Office

Certificate Effective DateMarch 22, 2025

Certificate Expiration DateMarch 21, 2027

Laboratory DirectorRussell P. Spinazze

Laboratory Phone(847) 255-7080

Laboratory LocationAssocs For Oral, Maxillofacial And Implant Surgery10 N Ridge Ave, Mount Prospect, IL 60056

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Associates For Oral Maxillofacial And Implant Surgery Ltd's NPI number?

The NPI number for Associates For Oral Maxillofacial And Implant Surgery Ltd is 1114911872. It was assigned to this organization in the NPPES registry on September 8, 2005.

Where is Associates For Oral Maxillofacial And Implant Surgery Ltd located?

Associates For Oral Maxillofacial And Implant Surgery Ltd is located at 10 N Ridge Ave, Mt Prospect, IL 60056. The listed phone number is (847) 255-7080.

What is Associates For Oral Maxillofacial And Implant Surgery Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Associates For Oral Maxillofacial And Implant Surgery Ltd enrolled in Medicare?

Yes. Associates For Oral Maxillofacial And Implant Surgery Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Associates For Oral Maxillofacial And Implant Surgery Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Associates For Oral Maxillofacial And Implant Surgery Ltd, in Maxillofacial Surgery and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Associates For Oral Maxillofacial And Implant Surgery Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2056203) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Associates For Oral Maxillofacial And Implant Surgery Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.