IndividualActive
Bryan Vanoven, DDS
NPI 1720290174 · Oral and Maxillofacial Surgery (Dentist) · Libertyville, IL
Provider details
- NPI number
- 1720290174
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 5681 (OK)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1236 American Way
Libertyville, IL 60048-3936
Phone: (847) 367-8656
Fax: (847) 557-1361
Approximate (ZIP-level) locationGet directions
Mailing address
1236 American Way
Libertyville, IL 60048-3936
Registry dates
- Enumerated
- 2007-05-05
- Last updated
- 2023-11-07
- Certified
- 2023-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.