# ASSOCIATES FOR ORAL MAXILLOFACIAL AND IMPLANT SURGERY LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114911872
- **Authorized official:** DENNIS J SPINAZZE DDS (ORAL MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (847) 255-7080

## Contact information

- **Practice address:** 10 N RIDGE AVE, MT PROSPECT, IL 60056-2428
- **Practice address phone:** (847) 255-7080
- **Practice address fax:** (847) 255-6931
- **Mailing address:** 10 N RIDGE AVE, MT PROSPECT, IL 60056-2428
- **Mailing address phone:** (847) 255-7080
- **Mailing address fax:** (847) 255-6931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | IL | Yes |

## Other

- **Enumeration date:** 09/08/2005
- **Last updated:** 08/22/2020