OrganizationActive
Oral & Maxillofacial Surgeons of Lake County, P.C.
NPI 1023132859 · Oral and Maxillofacial Pathology Dentistry · Gurnee, IL
Provider details
- NPI number
- 1023132859
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jordan Ledger, Owner(312) 620-1926
- License
- 019.022774 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
202 S Greenleaf St
Suite a
Gurnee, IL 60031-3399
Phone: (847) 623-2830
Fax: (847) 623-1534
Street-level locationGet directions
Mailing address
202 S Greenleaf St Ste a
Gurnee, IL 60031-3399
Other names (DBA / former)
- Doing business as
- Lake County Oral Surgery
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.