Brookfield Oral Surgery, Llc

LBN: Brookfield Oral Surgery, Llc
Brookfield Oral Surgery, Llc is an health care organization with primary practice located at 9240 Broadway Ave , Brookfield IL 60513-1252. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Brookfield Oral Surgery, Llc can be contacted via phone (708) 680-7017, or through Johnson, Tyran E via phone (708) 680-7017.

Contact Information

Primary practice address
9240 Broadway Ave Brookfield IL 60513-1252
Phone: (708) 680-7017
Fax: (708) 419-3537
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Tyran E Doctor of Dental Surgery (DDS)
Phone: (708) 680-7017

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1225612534
LBN Legal business name Brookfield Oral Surgery, Llc
DBA Doing business as
Authorized official Johnson, Tyran E Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2021
Last updated May 12th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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