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CENTER FOR ORAL AND FACIAL SURGERY
NPI 1356423891
Dentist - Oral and Maxillofacial Surgery in Gurnee, IL

Active since October 20, 2006
310 S GREENLEAF ST STE 203, GURNEE, IL 60031(847) 623-5915(847) 623-1174 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Center For Oral And Facial Surgery NPPES

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

CENTER FOR ORAL AND FACIAL SURGERY (NPI 1356423891) is a healthcare organization registered as an oral and maxillofacial surgery in Gurnee, Illinois and active in the NPI registry since October 2006. The organization lists Diana Mandel-tatch, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1356423891
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWALTER TATCH, D.D.S., LTD.
Location Address310 S GREENLEAF ST STE 203Gurnee, IL 60031-5708
Mailing Address310 S Greenleaf St Ste 203Gurnee, IL 60031-5708 · (847) 623-5915 · Fax (847) 623-1174
Phone(847) 623-5915
Fax(847) 623-1174
Organization SubpartNo
Authorized OfficialDiana Mandel-tatchOffice Manager · (972) 898-5336
Enumeration DateOctober 20, 2006
Last NPPES UpdateAugust 14, 2013
✔ NPI 1356423891 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 · 021002076
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.
310 S GREENLEAF ST STE 203, Gurnee, IL 60031
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Other Names 1

Doing Business AsCenter For Oral And Facial 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. WALTER TATCH
Oral & Maxillofacial Surgery
310 S GREENLEAF ST STE 203
GURNEE, IL 60031
Lake County (847) 623-5915
DR. TARAS MARTYNIOUK D.M.D.
Dentist (Oral and Maxillofacial Surgery)
310 S GREENLEAF ST STE 203
GURNEE, IL 60031
Lake County (847) 623-5915

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 Walter Tatch, D.D.S., Ltd.'s NPI number?

The NPI number for Walter Tatch, D.D.S., Ltd. is 1356423891. It was assigned to this organization in the NPPES registry on October 20, 2006. The provider is doing business as Center For Oral And Facial Surgery.

Where is Walter Tatch, D.D.S., Ltd. located?

Walter Tatch, D.D.S., Ltd. is located at 310 S Greenleaf St Ste 203, Gurnee, IL 60031. The listed phone number is (847) 623-5915.

What is Walter Tatch, D.D.S., Ltd.'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 Walter Tatch, D.D.S., Ltd. was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.