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ORAL AND MAXILLO FACIAL SURGEONS FOR NORTHERN ILLINOIS
NPI 1851583603
Oral & Maxillofacial Surgery in Sycamore, IL

Active since August 15, 2007
1675 BETHANY RD, SUITE A, SYCAMORE, IL 60178(815) 895-3000(815) 895-0505 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Oral And Maxillo Facial Surgeons For Northern Illinois NPPES

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

ORAL AND MAXILLO FACIAL SURGEONS FOR NORTHERN ILLINOIS (NPI 1851583603) is a healthcare organization registered as an oral & maxillofacial surgery in Sycamore, Illinois and active in the NPI registry since August 2007. The organization lists Todd M Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1851583603
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameORAL AND MAXILLO FACIAL SURGEONS FOR NORTHERN ILLINOIS
Location Address1675 BETHANY RD, SUITE ASycamore, IL 60178
Mailing Address1675 Bethany Rd, Suite ASycamore, IL 60178 · (815) 895-3000 · Fax (815) 895-0505
Phone(815) 895-3000
Fax(815) 895-0505
Organization SubpartNo
Authorized OfficialTodd M AndersonPresident · (815) 595-3000
Enumeration DateAugust 15, 2007
Last NPPES UpdateJuly 19, 2019
✔ NPI 1851583603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1675 BETHANY RD, Sycamore, IL 60178
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oral And Maxillo Facial Surgeons For Northern Illinois is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Oral And Maxillo Facial Surgeons For Northern Illinois, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Todd Anderson, DDS
Maxillofacial Surgery
NPI 1497867626
1675 BETHANY RD SUITE A
Sycamore, IL 60178
(815) 895-3000
✔ PECOS✔ Accepts MedicareSame address
David Junck
Maxillofacial Surgery
NPI 1952636102
1675 BETHANY RD SUITE A
Sycamore, IL 60178
(815) 895-3000
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Oral And Maxillo Facial Surgeons For Northern Illinois's NPI number?

The NPI number for Oral And Maxillo Facial Surgeons For Northern Illinois is 1851583603. It was assigned to this organization in the NPPES registry on August 15, 2007.

Where is Oral And Maxillo Facial Surgeons For Northern Illinois located?

Oral And Maxillo Facial Surgeons For Northern Illinois is located at 1675 Bethany Rd Suite A, Sycamore, IL 60178. The listed phone number is (815) 895-3000.

What is Oral And Maxillo Facial Surgeons For Northern Illinois's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Oral And Maxillo Facial Surgeons For Northern Illinois enrolled in Medicare?

Yes. Oral And Maxillo Facial Surgeons For Northern Illinois is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oral And Maxillo Facial Surgeons For Northern Illinois?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Maxillofacial Surgery, reassign their Medicare billing to Oral And Maxillo Facial Surgeons For Northern Illinois. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oral And Maxillo Facial Surgeons For Northern Illinois was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.