Highland Park Oms
NPI #1912283730 in Highland Park, Illinois
Provider Information
- NPI Number
- 1912283730
- Entity Type
- Organization
- Organization Name
- Highland Park Oms
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Oct 25, 2011
- Last Updated
- Oct 25, 2011
Practice Location
- Address
- 1893 SHERIDAN RD
- Address 2
- SUITE 311
- City
- Highland Park
- State
- Illinois
- ZIP Code
- 60035-2628
- Phone
- (847) 433-6636
Authorized Official
- Name
- DR. MARK B JACOB, DDS, MS
- Title
- OWNER
- Phone
- (847) 433-6636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. Nathan Alan Braverman, D.M.D., M.D. | |
| DR. Jeffrey Alan Halpern, D.D.S. | |
| DR. Philip R Banghart, D.D.S. | |
| DR. Michael A. Krell, D.D.S., M.S. |
Organizations
| Provider Name | |
|---|---|
| Nathan Braverman Dmd MD PC |
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