OrganizationActive
Oral and Facial Surgery of the Northshore
NPI 1659216760 · Oral and Maxillofacial Surgery (Dentist) · Skokie, IL
Provider details
- NPI number
- 1659216760
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Stephen Martin, Oral and Maxillofacial Surgeon(404) 788-8520
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
4200 Dempster St
Skokie, IL 60076-2008
Phone: (224) 623-0709
Street-level locationGet directions
Mailing address
4200 Dempster St
Skokie, IL 60076-2008
Registry dates
- Enumerated
- 2026-04-23
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.