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THE CENTER FOR ORAL, MAXILLOFACIAL & IMPLANT SURGERY
NPI 1205095387
Dentist - Oral and Maxillofacial Surgery in Evanston, IL

Active since June 04, 2008
500 DAVIS ST 509, EVANSTON, IL 60201(847) 869-9303(847) 869-9323 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Center For Oral, Maxillofacial & Implant Surgery NPPES

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

THE CENTER FOR ORAL, MAXILLOFACIAL & IMPLANT SURGERY (NPI 1205095387) is a healthcare organization registered as an oral and maxillofacial surgery in Evanston, Illinois and active in the NPI registry since June 2008. The organization lists Holly A. Wales, Practice Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1205095387
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTHE CENTER FOR ORAL, MAXILLOFACIAL & IMPLANT SURGERY
Location Address500 DAVIS ST 509Evanston, IL 60201
Mailing Address500 Davis St 509Evanston, IL 60201 · (847) 869-9303 · Fax (847) 869-9323
Phone(847) 869-9303
Fax(847) 869-9323
Organization SubpartNo
Authorized OfficialHolly A. WalesPractice Practice Manager · (847) 869-1080
Enumeration DateJune 4, 2008
Last NPPES UpdateMay 9, 2025
✔ NPI 1205095387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 060.001866021.001194
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.
500 DAVIS ST 509, Evanston, IL 60201
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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

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 The Center For Oral, Maxillofacial & Implant Surgery's NPI number?

The NPI number for The Center For Oral, Maxillofacial & Implant Surgery is 1205095387. It was assigned to this organization in the NPPES registry on June 4, 2008.

Where is The Center For Oral, Maxillofacial & Implant Surgery located?

The Center For Oral, Maxillofacial & Implant Surgery is located at 500 Davis St 509, Evanston, IL 60201. The listed phone number is (847) 869-9303.

What is The Center For Oral, Maxillofacial & Implant Surgery's specialty?

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

When was this NPI record last updated?

The NPPES record for The Center For Oral, Maxillofacial & Implant Surgery was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.