# SOUTHWEST ORAL SURGEONS,P.C.

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

## Provider details

- **NPI number:** 1215123187
- **Authorized official:** DR. WILLIAM G. FLICK DDSMPH (DOCTOR/OWNER)
- **Authorized official phone:** (708) 425-4300

## Contact information

- **Practice address:** 6305 W 95TH ST, 3RD FLOOR, OAK LAWN, IL 60453-2255
- **Practice address phone:** (708) 425-4300
- **Practice address fax:** (708) 425-4310
- **Mailing address:** 6305 W 95TH ST, 3RD FLOOR, OAK LAWN, IL 60453-2255
- **Mailing address phone:** (708) 425-4300
- **Mailing address fax:** (708) 425-4310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | IL | Yes |

## Other

- **Enumeration date:** 09/24/2007
- **Last updated:** 09/24/2007