Provider Type Icon

NATHAN BRAVERMAN DMD MD PC NPI 1861647588


NPI Information

NPI: 1861647588
Provider Name: NATHAN BRAVERMAN DMD MD PC

Doing Business As: HIGHLAND PARK ORAL MAXILLOFACIAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1770 FIRST ST.
350
HIGHLAND PARK, IL
ZIP 60035
Phone: (847) 433-1516
Get Directions

NATHAN BRAVERMAN DMD MD PC is an oral and maxillofacial surgery dentist in Highland Park, IL. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. NATHAN BRAVERMAN DMD MD PC NPI is 1861647588. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Highland Park Oral Maxillofacial Surgery.

The provider's business location address is:

1770 FIRST ST.
350
HIGHLAND PARK, IL
ZIP 60035-200
Phone: (847) 433-1516
Fax: (847) 433-1548

The provider's authorized official is Nathan Alan Braverman .
The authorized official title is President/owner and has the following contact phone number (847) 433-1516.

The enumeration date for this NPI number is 11/21/2008 and was last updated on 11/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery019023544ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.