MAXILLOFACIAL AND FACIAL AESTHETIC SURGERY
NPI 1992978852
Oral & Maxillofacial Surgery in Geneva, IL

Active since April 10, 2008
426 S 3RD ST, GENEVA, IL 60134(630) 232-9090(630) 232-9094 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maxillofacial And Facial Aesthetic Surgery NPPES

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

MAXILLOFACIAL AND FACIAL AESTHETIC SURGERY (NPI 1992978852) is a healthcare organization registered as an oral & maxillofacial surgery in Geneva, Illinois and active in the NPI registry since April 2008. The organization lists Kevin Ray Haddle, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1992978852
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameMAXILLOFACIAL AND FACIAL AESTHETIC SURGERY
Location Address426 S 3RD STGeneva, IL 60134-2708
Mailing Address426 S 3rd StGeneva, IL 60134-2708 · (630) 232-9090 · Fax (630) 232-9094
Fax(630) 232-9094
Organization SubpartNo
Authorized OfficialKevin Ray HaddlePhysician Owner · (630) 232-9090
Enumeration DateApril 10, 2008
NPI 1992978852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
426 S 3RD ST, Geneva, IL 60134

Other Identifiers 1

Medicare UPINH98071IL

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 4

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

Health Maintenance Organization
426 S 3RD ST
GENEVA, IL 60134
Chiropractor
426 S 3RD ST
GENEVA, IL 60134
Dentist (Oral and Maxillofacial Surgery)
426 S 3RD ST
GENEVA, IL 60134
Dentist (Oral and Maxillofacial Surgery)
426 S 3RD ST
GENEVA, IL 60134

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 Maxillofacial And Facial Aesthetic Surgery's NPI number?

The NPI number for Maxillofacial And Facial Aesthetic Surgery is 1992978852. It was assigned to this organization in the NPPES registry on April 10, 2008.

Where is Maxillofacial And Facial Aesthetic Surgery located?

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

What is Maxillofacial And Facial Aesthetic Surgery's specialty?

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

When was this NPI record last updated?

The NPPES record for Maxillofacial And Facial Aesthetic Surgery was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.