Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Periodontal Medicine and Surgical Specialists, LLC

Organization Periodontics · NPI 1811036718

Periodontal Medicine and Surgical Specialists, LLC provides Periodontics in Oakbrook Terrace, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1S224 Summit Ave Ste 205
Oakbrook Terrace, IL 60181-3983
Phone: (630) 627-3930
Fax: (630) 627-2148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 060-003629 (IL)
Periodontics Taxonomy 1223P0300X · Licence 019024971 (IL)
Periodontics Taxonomy 1223P0300X · Licence 019014972 (IL)
Periodontics Taxonomy 1223P0300X · Licence 019030200 (IL)

Record details

NPI number1811036718
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Mandelaris — Owner Periodontist · (630) 627-3930
Other names Periodontal Medicine And Surgical Specialists, Ltd
NPI enumeratedFebruary 6, 2007
Last updated in NPPESDecember 16, 2016
Mailing address1s224 Summit Ave, Suite 205, Oakbrook Terrace, IL 60181-3983

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