# MIDLAND ORAL SURGERY AND IMPLANT CENTERS, LTD

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

## Provider details

- **NPI number:** 1992541635
- **Authorized official:** AARON TUCKE DDS (CEO)
- **Authorized official phone:** (215) 828-9559

## Contact information

- **Practice address:** 800 HILLGROVE AVE STE 201, WESTERN SPRINGS, IL 60558-1470
- **Practice address phone:** (708) 678-1011
- **Mailing address:** PO BOX 674620, DALLAS, TX 75267-4620
- **Mailing address phone:** (708) 423-5990

## 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:** 07/02/2024
- **Last updated:** 07/02/2024