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ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC
NPI 1215794060
Dentist - Oral and Maxillofacial Surgery in Carol Stream, IL

Active since February 28, 2024
383 S SCHMALE RD, CAROL STREAM, IL 60188(630) 909-0500 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Erickson Oral & Maxillofacial Surgery, Llc NPPES

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

ERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC (NPI 1215794060), doing business as Prairie Path Oral Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Carol Stream, Illinois and active in the NPI registry since February 2024. The organization lists Mark F Erickson, Owner/surgeon, as its authorized official.

NPPES Registry Identity

NPI1215794060
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameERICKSON ORAL & MAXILLOFACIAL SURGERY, LLC
Location Address383 S SCHMALE RDCarol Stream, IL 60188-2756
Mailing Address383 S Schmale RdCarol Stream, IL 60188-2756
Phone(630) 909-0500
Organization SubpartNo
Authorized OfficialMark F EricksonOwner/surgeon · (630) 308-9902
Enumeration DateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1215794060 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.
383 S SCHMALE RD, Carol Stream, IL 60188
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Other Names 1

Doing Business AsPrairie Path Oral Surgery

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BERNARD CARL PECARO MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
383 S SCHMALE RD
CAROL STREAM, IL 60188
Dupage County (312) 203-3640
DR. MARK F. ERICKSON D.D.S.
Dentist (Oral and Maxillofacial Surgery)
383 S SCHMALE RD
CAROL STREAM, IL 60188
Dupage County (630) 909-0500

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 Erickson Oral & Maxillofacial Surgery, LLC's NPI number?

The NPI number for Erickson Oral & Maxillofacial Surgery, LLC is 1215794060. It was assigned to this organization in the NPPES registry on February 28, 2024. The provider is doing business as Prairie Path Oral Surgery.

Where is Erickson Oral & Maxillofacial Surgery, LLC located?

Erickson Oral & Maxillofacial Surgery, LLC is located at 383 S Schmale Rd, Carol Stream, IL 60188. The listed phone number is (630) 909-0500.

What is Erickson Oral & Maxillofacial Surgery, LLC'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 Erickson Oral & Maxillofacial Surgery, LLC was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.