OrganizationActive
Libertyville Oral Surgery PC
NPI 1891477352 · Oral and Maxillofacial Surgery (Dentist) · Libertyville, IL
Provider details
- NPI number
- 1891477352
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Parent organization
- Libertyville Oral Surgery PC
- Organization subpart
- Yes
- Authorized official
- Bryan Vanoven, Oral Maxillofacial Surgeon(847) 367-8656
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1236 American Way
Libertyville, IL 60048-3936
Phone: (847) 367-8656
Street-level locationGet directions
Mailing address
1236 American Way
Libertyville, IL 60048-3936
Other names (DBA / former)
- Doing business as
- Libertyville Oral Surgery and Dental Implants
Registry dates
- Enumerated
- 2023-08-03
- Last updated
- 2023-08-03
- Certified
- 2023-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.