# ORAL AND FACIAL SURGERY OF THE NORTHSHORE

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

## Provider details

- **NPI number:** 1659216760
- **Authorized official:** DR. STEPHEN MARTIN DMD (ORAL AND MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (404) 788-8520

## Contact information

- **Practice address:** 4200 DEMPSTER ST, SKOKIE, IL 60076-2008
- **Practice address phone:** (224) 623-0709
- **Mailing address:** 4200 DEMPSTER ST, SKOKIE, IL 60076-2008
- **Mailing address phone:** (224) 623-0709

## Taxonomy

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

## Other

- **Enumeration date:** 04/23/2026
- **Last updated:** 04/23/2026