Crystal Lake Oral Maxillofacial Surgery Ltd
Oral and Maxillofacial Dental Clinic
690 N Il Route 31, Crystal Lake
Illinois, 60012-3790
815-459-5600 815-459-5615
Maps & DirectionsCrystal Lake Oral Maxillofacial Surgery Ltd is a Oral and Maxillofacial Dental Clinic in Crystal Lake, Illinois. It is located at 690 N Il Route 31, Crystal Lake, IL and its contact number is 815-459-5600. The authorized person for Crystal Lake Oral Maxillofacial Surgery Ltd is Dr. Kurt E Bruksch
who is Vice-president of the clinic and their contact number is 815-459-5600. Other organizations associated with this clinic are Pediatric Dental Associates, Pc, Frederick M. Fitzpatrick, D.d.s., P.c., Crystal Lake Oral Maxillofacial Surgery Ltd, Frazier & Kopp Dds Pc, The primary license number for Crystal Lake Oral Maxillofacial Surgery Ltd is 019018137 (Oral and Maxillofacial Surgery) in Illinois.
Crystal Lake Oral Maxillofacial Surgery Ltd Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Crystal Lake Oral Maxillofacial Surgery Ltd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Crystal Lake Oral Maxillofacial Surgery Ltd |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 690 N Il Route 31, Crystal Lake,
Illinois, 60012-3790 |
| Phone: | 815-459-5600 |
| Fax: | 815-459-5615 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Kurt E Bruksch |
| Position: | Vice-president |
| Contact Number: | 815-459-5600 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Crystal Lake Oral Maxillofacial Surgery Ltd clinic are as mentioned below.
| NPI Number: | 1730197468 |
| NPI Enumeration Date: | 05 Aug, 2006 |
| NPI Last Update On: | 03 Jun, 2010 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Pediatric Dental Associates, Pc | Pediatric Dentistry | 1568709988 |
| Frederick M. Fitzpatrick, D.d.s., P.c. | Pediatric Dentistry | 1700990447 |
| Crystal Lake Oral Maxillofacial Surgery Ltd | Oral and Maxillofacial Surgery | 1730197468 |
| Frazier & Kopp Dds Pc | Dentistry | 1871662486 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Crystal Lake Oral Maxillofacial Surgery Ltd are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 019018137 | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 019025282 | Medicaid | Idaho | |
| 019016621 | Medicaid | Illinois | |
| 019018137 | Medicaid | Illinois | |
| 019013457 | Medicaid | Illinois | |
| 1700865441 | Other | | Npi # Dr. John Richard |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Crystal Lake Oral Maxillofacial Surgery Ltd
690 N Il Route 31,
Crystal Lake, Illinois |
| Zip: | 60012-3790 |
| Phone Number: | 815-459-5600 |
| Fax Number: | 815-459-5615 |
Patients can reach Crystal Lake Oral Maxillofacial Surgery Ltd at
690 N Il Route 31, Crystal Lake, Illinois or can
call to book an appointment on 815-459-5600.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.