Individual provider · Type 1 NPI
Matthew B. Sagun, DDS, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Kenilworth, IL
Practice location
450 Green Bay Rd
Kenilworth, IL 60043-1074
Mailing address
2251 W Irving Park Rd Apt 2
Chicago, IL 60618-3874
Other practice locations
- 1220 Meadow Rd, Ste. 306, Northbrook, IL 60062-3698 · (847) 272-5400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 019026757 (IL) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 021002492 (IL) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
2 other providers at this address
Other orthodontics and dentofacial orthopedics dentistry providers in Kenilworth
About NPI 1144488651
Matthew B. Sagun, DDS, M.S.'s National Provider Identifier is 1144488651, issued on May 30, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Kenilworth, IL. The record was last updated on Jan 15, 2020.