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Organization
ORAL AND FACIAL SURGERY OF THE NORTHSHORE
Active
Organization
ORAL AND FACIAL SURGERY OF THE NORTHSHORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MARTIN DMD (ORAL AND MAXILLOFACIAL SURGEON)
(404) 788-8520
Entity
Organization
Contact information
Practice address
4200 DEMPSTER ST, SKOKIE, IL 60076-2008
(224) 623-0709
Mailing address
4200 DEMPSTER ST, SKOKIE, IL 60076-2008
(224) 623-0709
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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