Organization
NAPERVILLE ORAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA FOXSON D.D.S., M.S. (OWNER)
(630) 708-6637
Entity
Organization
Contact information
Practice address
605 S WASHINGTON ST, NAPERVILLE, IL 60540-6643
(630) 708-6637
Mailing address
605 SOUTH WASHINGON STREET, NAPERVILLE, IL 60540
(630) 708-6637
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
019029110
IL
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
021002503
IL
Other
Enumeration date
09/09/2013
Last updated
05/04/2017
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