JASON SCHROTENBOER DDS MD PC (NPI# 1548771926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548771926 |
| Entity Type | Organization |
| Organization Name | JASON SCHROTENBOER DDS MD PC |
| Other Organization Name | ARBOR VIEW ORAL & FACIAL SURGERY |
| Practice Address |
3927 W Belmont Ave Ste 101 Chicago IL 60618-5170 |
| Mailing Address |
3927 W Belmont Ave Chicago IL 60618-5170 |
| Practice Telephone | 8722396787 |
| Mailing Telephone | 7739455005 |
| Mailing Fax Number | 7739455004 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2018-04-29 |
| Authorized Official Name | DR. JASON SCHROTENBOER (OWNER, PRESIDENT) |
| Authorized Official Telephone | 7739455005 |
| Authorized Official Credential | DDS, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
319019549 | IL | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 319019549 | IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Arbor View Oral & Facial Surgery | Doing Business As Name - Organization |
| Street Address |
3927 W BELMONT AVE STE 101 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-5170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336377456 | Jason Sean Schrotenboer | Dentist | 3927 W Belmont Ave Ste 101, Chicago, IL 60618-5170 | 2009-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
| 1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
| 1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
| 1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
| 1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
| Find all providers in zip 60618 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821652736 | Oral and Maxilloficial Head and Neck Associates LLC | Oral & Maxillofacial Surgery | 811 West Wellington Avenue, Attention: Mohammed Qaisi, Md., Dmd., Chicago, IL 60657-5123 | 2019-04-25 |
| 1295840304 | Khaled Abughazaleh | Oral & Maxillofacial Surgery | 65 E Scott St Apt 9a, Chicago, IL 60610-5274 | 2006-08-20 |
| 1518528165 | Ali Al-qudsi | Oral & Maxillofacial Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2019-06-25 |
| 1669033445 | Brett Quinto | Oral & Maxillofacial Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2019-06-24 |
| 1508144585 | James Anthony Murphy | Oral & Maxillofacial Surgery | 1969 W Ogden Ave, Chicago, IL 60612-3765 | 2011-07-25 |
| 1326338948 | Michael David Han | Oral & Maxillofacial Surgery | 801 S Paulina St, Room 110 (mc 835), Chicago, IL 60612-7210 | 2011-04-15 |
| 1881821445 | Board of Trustees of The University of Illinois | Oral & Maxillofacial Surgery | 840 S Wood St, Mc 958, Chicago, IL 60612-4325 | 2009-06-22 |
| 1225291347 | Michael Robert Markiewicz | Oral & Maxillofacial Surgery | 801 S Paulina St, Chicago, IL 60612-7210 | 2008-07-09 |
| 1992883367 | Gregory Paul Thomas | Oral & Maxillofacial Surgery | 676 N Saint Clair St, Suite 2280, Chicago, IL 60611-2927 | 2006-11-01 |
| 1659486751 | Mark B Jacob | Oral & Maxillofacial Surgery | 1740 W Taylor St, Chicago, IL 60612-7232 | 2006-08-20 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on JASON SCHROTENBOER DDS MD PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.