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
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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