OrganizationActive
Wisdom Teeth and Beyond Oral Surgery
NPI 1891641148 · Oral and Maxillofacial Surgery Clinic/Center · Hainesville, IL
Provider details
- NPI number
- 1891641148
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alejandro Valladares, Owner(978) 855-6659
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4 N Deer Point Rd Ste 1008
Hainesville, IL 60030-3814
Phone: (847) 388-6098
Fax: (847) 388-6099
Approximate (ZIP-level) locationGet directions
Mailing address
4 N Deer Point Rd Ste 1008
Hainesville, IL 60030-3814
Registry dates
- Enumerated
- 2026-03-09
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.