Individual provider · Type 1 NPI

Austin Lucas Cacciaglia, DDS

Oral and Maxillofacial Surgery (Dentist) · Maywood, IL

NPI number 1043982739 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Mailing address

2274 Winter Ridge Dr
Traverse City, MI 49686-8244

Other practice locations

  • 3D Dental Battalion, 3D Mlg, Unit 38450 Fpo Ap, Okinawa, OKINAWA 96373 · (231) 632-1571

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X019032889 (IL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

2,120 other providers at this address

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About NPI 1043982739

Austin Lucas Cacciaglia, DDS's National Provider Identifier is 1043982739, issued on Sep 30, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Maywood, IL. The record was last updated on May 24, 2023.