KLOBERDANZ ORAL SURGERY AND DENTAL IMPLANTS P.C.
NPI 1811040298
Dentist - Oral and Maxillofacial Surgery in St Charles, IL

Active since January 19, 2007
2580 FOXFIELD RD STE 100, ST CHARLES, IL 60174(630) 377-7077 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kloberdanz Oral Surgery And Dental Implants P.c. NPPES

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

KLOBERDANZ ORAL SURGERY AND DENTAL IMPLANTS P.C. (NPI 1811040298) is a healthcare organization registered as an oral and maxillofacial surgery in St Charles, Illinois and active in the NPI registry since January 2007. The organization lists Lori White, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1811040298
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameKLOBERDANZ ORAL SURGERY AND DENTAL IMPLANTS P.C.
Location Address2580 FOXFIELD RD STE 100St Charles, IL 60174-1411
Mailing Address2580 Foxfield Rd Ste 100St Charles, IL 60174-1411 · (630) 377-7077
Organization SubpartNo
Authorized OfficialLori WhiteOffice Manager · (630) 377-7077
Enumeration DateJanuary 19, 2007
Last NPPES UpdateNovember 5, 2015
NPI 1811040298 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.
2580 FOXFIELD RD STE 100, St Charles, IL 60174

Other Identifiers 2

Medicare ID-Type Unspecified203640IL
Medicare ID-Type Unspecified730710IL

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

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

Clinic/Center (Oral and Maxillofacial Surgery)
2580 FOXFIELD RD STE 100
ST CHARLES, IL 60174

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 Kloberdanz Oral Surgery And Dental Implants P.C.'s NPI number?

The NPI number for Kloberdanz Oral Surgery And Dental Implants P.C. is 1811040298. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Kloberdanz Oral Surgery And Dental Implants P.C. located?

Kloberdanz Oral Surgery And Dental Implants P.C. is located at 2580 Foxfield Rd Ste 100, St Charles, IL 60174. The listed phone number is (630) 377-7077.

What is Kloberdanz Oral Surgery And Dental Implants P.C.'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 Kloberdanz Oral Surgery And Dental Implants P.C. was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.