OrganizationActive
Maxillofacial and Facial Aesthetic Surgery
NPI 1992978852 · Oral & Maxillofacial Surgery (D.M.D.) · Geneva, IL
Provider details
- NPI number
- 1992978852
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Haddle, Physician Owner(630) 232-9090
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Practice location
426 S 3rd St
Geneva, IL 60134-2708
Phone: (630) 232-9090
Fax: (630) 232-9094
Approximate (ZIP-level) locationGet directions
Mailing address
426 S 3rd St
Geneva, IL 60134-2708
Registry dates
- Enumerated
- 2008-04-10
- Last updated
- 2008-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.