| Associates For Oral Maxillofacial And Implant Surgery Ltd | |
|
10 N Ridge Ave Mt Prospect IL 60056-2428 | |
| (847) 255-7080 | |
| (847) 255-6931 |
| Full Name | Associates For Oral Maxillofacial And Implant Surgery Ltd |
|---|---|
| Speciality | Dentist |
| Location | 10 N Ridge Ave, Mt Prospect, Illinois |
| Authorized Official Name and Position | Dennis J Spinazze (ORAL MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 8472557080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates For Oral Maxillofacial And Implant Surgery Ltd 10 N Ridge Ave Mt Prospect IL 60056-2428 Ph: (847) 255-7080 | Associates For Oral Maxillofacial And Implant Surgery Ltd 10 N Ridge Ave Mt Prospect IL 60056-2428 Ph: (847) 255-7080 |
| NPI Number | 1114911872 |
|---|---|
| Provider Enumeration Date | 09/08/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2365425469 |
|---|---|
| Medicare Enrollment ID | O20040610000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114911872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Illinois) | Primary |
| Provider Name | Russel P Spinazze |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1306830997 PECOS PAC ID: 6406839513 Enrollment ID: I20101018000141 |
| Provider Name | Mark A Spinazze |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1417146838 PECOS PAC ID: 6204005549 Enrollment ID: I20110803000305 |
| Provider Name | Eliza P Drobny |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1699904615 PECOS PAC ID: 6002047255 Enrollment ID: I20151106002069 |
| Provider Name | Andrew B Sugar |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1043674021 PECOS PAC ID: 6709204167 Enrollment ID: I20200916002288 |
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