Facial Cosmetic & Reconstructive Surgery, Sc
Facial Cosmetic & Reconstructive Surgery, Sc is a healthcare organization registered as Oral and Maxillofacial Surgery Clinic/Center in Dunlap, IL, holding Type 2 (organization) NPI 1417123076 since 2008. The authorized official on file is Wendy Morrison, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417123076 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Facial Cosmetic & Reconstructive Surgery, Sc |
| Practice address | 11825 N KNOXVILLE AVE, Dunlap, IL, 61525 |
| Phone | 3092438980 |
| Fax | 3092438983 |
| Enumeration date | 2008-05-05 |
| Last updated in NPPES | 2008-05-05 |
Authorized official
| Name | Wendy Morrison |
|---|---|
| Title | Office Manager |
| Phone | 3092438980 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | Primary | 019025195 | IL |
Copy-ready billing details
Provider: Facial Cosmetic & Reconstructive Surgery, Sc NPI: 1417123076 Taxonomy: 261QS0112X (Oral and Maxillofacial Surgery Clinic/Center) Address: 11825 N KNOXVILLE AVE, Dunlap, IL, 61525
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1427116854 | Maple Shade Dental Group | Organization | Oral and Maxillofacial Surgery (Dentist) | Dunlap, IL |
| 1033735089 | Trevor Richmond | Individual | Periodontics | Dunlap, IL |
Verify this record
Cross-check NPI 1417123076 against the authoritative CMS record: view Facial Cosmetic & Reconstructive Surgery, Sc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Facial Cosmetic & Reconstructive Surgery, Sc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-05-05.