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ILLINOIS ORAL AND MAXILLOFACIAL SURGERY
NPI 1780456616
Dentist - Oral and Maxillofacial Surgery in Geneva, IL

Active since October 24, 2023CLIA 14D1088902 · Waiver
426 S 3RD ST, GENEVA, IL 60134(630) 232-9090(630) 232-9094 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Illinois Oral And Maxillofacial Surgery NPPES

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

ILLINOIS ORAL AND MAXILLOFACIAL SURGERY (NPI 1780456616) is a healthcare organization registered as an oral and maxillofacial surgery in Geneva, Illinois and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through September 7, 2026 and lists Michael Barbick, Owner, as its authorized official.

NPPES Registry Identity

NPI1780456616
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameILLINOIS ORAL AND MAXILLOFACIAL SURGERY
Location Address426 S 3RD STGeneva, IL 60134-2854
Mailing Address15170 N Florida AveTampa, FL 33613-1229 · (813) 755-9100
Phone(630) 232-9090
Fax(630) 232-9094
Organization SubpartNo
Authorized OfficialMichael BarbickOwner · (813) 755-9100
Enumeration DateOctober 24, 2023
Last NPPES UpdateOctober 25, 2023
NPPES CertifiedOctober 25, 2023
✔ NPI 1780456616 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.
426 S 3RD ST, Geneva, IL 60134
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1088902

Illinois Oral & Maxillofacial Surgery · Geneva, IL
Active · expires Sep 7, 2026
CLIA Number14D1088902
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorKevin R. Haddle
Laboratory Phone(630) 232-9090
Laboratory LocationIllinois Oral & Maxillofacial Surgery426 S Third Street, Geneva, IL 60134
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

WHOLE HUMAN HEALTH
Health Maintenance Organization
426 S 3RD ST
GENEVA, IL 60134
Kane County (630) 487-1810
DR. ELLIOT QUAST D.C.
Chiropractor
426 S 3RD ST
GENEVA, IL 60134
Kane County (920) 242-7536
DR. KEVIN RAY HADDLE DDS, MD
Dentist (Oral and Maxillofacial Surgery)
426 S 3RD ST
GENEVA, IL 60134
Kane County (630) 232-9090
MAXILLOFACIAL AND FACIAL AESTHETIC SURGERY
Oral & Maxillofacial Surgery
426 S 3RD ST
GENEVA, IL 60134
Kane County (630) 232-9090

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 Illinois Oral And Maxillofacial Surgery's NPI number?

The NPI number for Illinois Oral And Maxillofacial Surgery is 1780456616. It was assigned to this organization in the NPPES registry on October 24, 2023.

Where is Illinois Oral And Maxillofacial Surgery located?

Illinois Oral And Maxillofacial Surgery is located at 426 S 3rd St, Geneva, IL 60134. The listed phone number is (630) 232-9090.

What is Illinois Oral And Maxillofacial Surgery's specialty?

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

Does Illinois Oral And Maxillofacial Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1088902) is associated with this NPI, valid through September 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Illinois Oral And Maxillofacial Surgery was last updated on October 25, 2023. 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.