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BROOKFIELD ORAL SURGERY, LLC
NPI 1225612534
Dentist - Oral and Maxillofacial Surgery in Brookfield, IL

Active since May 12, 2021
9240 BROADWAY AVE, BROOKFIELD, IL 60513(708) 680-7017(708) 419-3537 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookfield Oral Surgery, Llc NPPES

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

BROOKFIELD ORAL SURGERY, LLC (NPI 1225612534), doing business as Brookfield Oral Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Brookfield, Illinois and active in the NPI registry since May 2021. The organization lists Tyran E Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1225612534
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBROOKFIELD ORAL SURGERY, LLC
Location Address9240 BROADWAY AVEBrookfield, IL 60513-1252
Mailing Address27 Elmwood AveLa Grange Park, IL 60526-2032 · (708) 680-7017
Phone(708) 680-7017
Fax(708) 419-3537
Organization SubpartNo
Authorized OfficialTyran E JohnsonOwner · (708) 680-7017
Enumeration DateMay 12, 2021
NPPES CertifiedMay 12, 2021
✔ NPI 1225612534 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.
9240 BROADWAY AVE, Brookfield, IL 60513
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Other Names 1

Doing Business AsBrookfield 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

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

DR. TYRAN ERIC JOHNSON D.D.S.
Dentist (Oral and Maxillofacial Surgery)
9240 BROADWAY AVE
BROOKFIELD, IL 60513
Cook County (708) 680-7017

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 Brookfield Oral Surgery, LLC's NPI number?

The NPI number for Brookfield Oral Surgery, LLC is 1225612534. It was assigned to this organization in the NPPES registry on May 12, 2021. The provider is doing business as Brookfield Oral Surgery.

Where is Brookfield Oral Surgery, LLC located?

Brookfield Oral Surgery, LLC is located at 9240 Broadway Ave, Brookfield, IL 60513. The listed phone number is (708) 680-7017.

What is Brookfield Oral 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 Brookfield Oral Surgery, LLC was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.