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SUBURBAN FAMILY DENTAL
NPI 1295978104
Dentist - Oral and Maxillofacial Surgery in Des Plaines, IL

Active since April 08, 2009
645 W GOLF RD, DES PLAINES, IL 60016(847) 640-0778(847) 640-2599 Get Directions Write a Review

NPPES record last updated: April 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Suburban Family Dental NPPES

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

SUBURBAN FAMILY DENTAL (NPI 1295978104) is a healthcare organization registered as an oral and maxillofacial surgery in Des Plaines, Illinois and active in the NPI registry since April 2009. The organization lists Mary Miller, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1295978104
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSUBURBAN FAMILY DENTAL
Location Address645 W GOLF RDDes Plaines, IL 60016-2462
Mailing Address645 West Golf RoadDes Plaines, IL 60016 · (847) 640-0778 · Fax (847) 640-2599
Phone(847) 640-0778
Fax(847) 640-2599
Organization SubpartNo
Authorized OfficialMary MillerOffice Manager · (847) 640-0778
Enumeration DateApril 8, 2009
✔ NPI 1295978104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 019016834
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 019022514 (IL), 019016362 (IL)
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 019022485 (IL)
645 W GOLF RD, Des Plaines, IL 60016
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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. MARC A MILLER D.D.S.
Dentist (General Practice)
645 W GOLF RD
DES PLAINES, IL 60016
Cook County (847) 640-0778
DR. ROMAN M DZIUBYK D.D.S.
Dentist (General Practice)
645 W GOLF RD
DES PLAINES, IL 60016
Cook County (847) 640-0778

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 Suburban Family Dental's NPI number?

The NPI number for Suburban Family Dental is 1295978104. It was assigned to this organization in the NPPES registry on April 8, 2009.

Where is Suburban Family Dental located?

Suburban Family Dental is located at 645 W Golf Rd, Des Plaines, IL 60016. The listed phone number is (847) 640-0778.

What is Suburban Family Dental'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 Suburban Family Dental was last updated on April 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.