# NATHAN BRAVERMAN DMD MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Highland Park Oral Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861647588
- **Authorized official:** DR. NATHAN ALAN BRAVERMAN DMD, MD (PRESIDENT/OWNER)
- **Authorized official phone:** (847) 433-1516

## Contact information

- **Practice address:** 1770 FIRST ST., 350, HIGHLAND PARK, IL 60035-3200
- **Practice address phone:** (847) 433-1516
- **Practice address fax:** (847) 433-1548
- **Mailing address:** 1770 1ST ST, SUITE 350, HIGHLAND PARK, IL 60035-3200
- **Mailing address phone:** (847) 433-1516
- **Mailing address fax:** (847) 433-1548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 019023544 | IL | Yes |

## Other

- **Enumeration date:** 11/21/2008
- **Last updated:** 11/21/2008