Cranial Facial Health LLC

NPI #1184573826 in La Grange, Illinois

Provider Information

NPI Number: 1184573826
Entity Type: Organization
Organization Name: Cranial Facial Health LLC
Primary Specialty: Oral & Maxillofacial Surgery
Enumeration Date: Jan 26, 2026
Last Updated: Jan 26, 2026

Practice Location

Address: 1400 W 47TH ST STE 7
City: La Grange
State: Illinois
ZIP Code: 60525-6148
Phone: (210) 675-7000

Authorized Official

Name: DAVID FERGUSON, DDS
Title: ADMINISTRATOR
Phone: (210) 675-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Specialist	174400000X
Otolaryngology - Otolaryngology/Facial Plastic Surgery — Otolaryngology/Facial Plastic Surgery	207YX0905X
Oral & Maxillofacial Surgery	204E00000X	Primary

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