# NORTH SHORE ORAL & MAXILLOFACIAL SURGERY LTD.

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

## Provider details

- **NPI number:** 1699988345
- **Authorized official:** DR. SCOTT R FRANK DDS (PRESIDENT)
- **Authorized official phone:** (847) 276-2500

## Contact information

- **Practice address:** 1411 MCHENRY RD STE 127, BUFFALO GROVE, IL 60089-1386
- **Practice address phone:** (847) 276-2500
- **Practice address fax:** (847) 276-2501
- **Mailing address:** 1411 MCHENRY RD STE 127, BUFFALO GROVE, IL 60089-1386
- **Mailing address phone:** (847) 276-2500
- **Mailing address fax:** (847) 276-2501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 21001572 | IL | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 08/22/2020