Individual provider · Type 1 NPI

Mariusz Kajetan Wrzosek, DMD, MD

Oral and Maxillofacial Surgery (Dentist) · Maywood, IL

NPI number 1144274853 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X019026949 (IL)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X019026949 (IL)
Surgery Physician 208600000X251775 (MA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X036138796 (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.

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About NPI 1144274853

Mariusz Kajetan Wrzosek, DMD, MD's National Provider Identifier is 1144274853, issued on May 19, 2006. 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 Dec 7, 2023.