Provider Demographics
NPI:1275897928
Name:ACE ORAL & MAXILLOFACIAL SURGERY LTD
Entity Type:Organization
Organization Name:ACE ORAL & MAXILLOFACIAL SURGERY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORRONE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-574-3700
Mailing Address - Street 1:13246 S ROUTE 59 STE 104
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-9803
Mailing Address - Country:US
Mailing Address - Phone:815-439-9600
Mailing Address - Fax:815-439-9100
Practice Address - Street 1:13246 S ROUTE 59 STE 104
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-9803
Practice Address - Country:US
Practice Address - Phone:815-439-9600
Practice Address - Fax:815-439-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190173361223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty