1. Home
  2. Directory
  3. Illinois
  4. Highland Park
  5. Dentist
  6. NPI Profile

HIGHLAND PARK ORAL MAXILLOFACIAL SURGERY
NPI 1861647588
Dentist - Oral and Maxillofacial Surgery in Highland Park, IL

Active since November 21, 2008
1770 FIRST ST., 350, HIGHLAND PARK, IL 60035(847) 433-1516(847) 433-1548 Get Directions Write a Review

NPPES record last updated: November 21, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Highland Park Oral Maxillofacial Surgery NPPES

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

HIGHLAND PARK ORAL MAXILLOFACIAL SURGERY (NPI 1861647588) is a healthcare organization registered as an oral and maxillofacial surgery in Highland Park, Illinois and active in the NPI registry since November 2008. The organization lists Nathan Alan Braverman, President/owner, as its authorized official.

NPPES Registry Identity

NPI1861647588
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameNATHAN BRAVERMAN DMD MD PC
Location Address1770 FIRST ST., 350Highland Park, IL 60035-3200
Mailing Address1770 1st St, Suite 350Highland Park, IL 60035-3200 · (847) 433-1516 · Fax (847) 433-1548
Phone(847) 433-1516
Fax(847) 433-1548
Organization SubpartNo
Authorized OfficialNathan Alan BravermanPresident/owner · (847) 433-1516
Enumeration DateNovember 21, 2008
✔ NPI 1861647588 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 · 019023544
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.

1770 FIRST ST., Highland Park, IL 60035
Open in Google Maps ↗

Other Names 1

Doing Business AsHighland Park Oral Maxillofacial 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

Frequently Asked Questions

What is NATHAN BRAVERMAN DMD MD PC's NPI number?

The NPI number assigned to this healthcare provider is 1861647588, enumerated as an "organization" on November 21, 2008.

Where is the provider located?

The provider is located at 1770 FIRST ST. 350 HIGHLAND PARK, IL 60035 and the phone number is (847) 433-1516.

What is the provider's specialty?

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.