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LIBERTYVILLE ORAL SURGERY PC
NPI 1891477352
Dentist - Oral and Maxillofacial Surgery in Libertyville, IL

Active since August 03, 2023
1236 AMERICAN WAY, LIBERTYVILLE, IL 60048(847) 367-8656 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Libertyville Oral Surgery Pc NPPES

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

LIBERTYVILLE ORAL SURGERY PC (NPI 1891477352), doing business as Libertyville Oral Surgery And Dental Implants, is a healthcare organization registered as an oral and maxillofacial surgery in Libertyville, Illinois and active in the NPI registry since August 2023. The organization lists Bryan Vanoven, Oral Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1891477352
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameLIBERTYVILLE ORAL SURGERY PC
Location Address1236 AMERICAN WAYLibertyville, IL 60048-3936
Mailing Address1236 American WayLibertyville, IL 60048-3936 · (847) 367-8656
Phone(847) 367-8656
Organization SubpartYes
Authorized OfficialBryan VanovenOral Maxillofacial Surgeon · (847) 367-8656
Enumeration DateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
✔ NPI 1891477352 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.
1236 AMERICAN WAY, Libertyville, IL 60048
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Other Names 1

Doing Business AsLibertyville Oral Surgery And Dental Implants

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. BRYAN JOEL VANOVEN DDS
Dentist (Oral and Maxillofacial Surgery)
1236 AMERICAN WAY
LIBERTYVILLE, IL 60048
Lake County (847) 367-8656
MICHAEL FEURSTEIN DMD
Dentist (Dentist Anesthesiologist)
1236 AMERICAN WAY
LIBERTYVILLE, IL 60048
Lake County (262) 455-0016

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 Libertyville Oral Surgery PC's NPI number?

The NPI number for Libertyville Oral Surgery PC is 1891477352. It was assigned to this organization in the NPPES registry on August 3, 2023. The provider is doing business as Libertyville Oral Surgery and Dental Implants.

Where is Libertyville Oral Surgery PC located?

Libertyville Oral Surgery PC is located at 1236 American Way, Libertyville, IL 60048. The listed phone number is (847) 367-8656.

What is Libertyville Oral Surgery PC'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 Libertyville Oral Surgery PC was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.