Individual provider · Type 1 NPI

Joseph E. Canzona, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Evanston, IL

NPI number 1265411276 Active

Practice location

2500 Ridge Ave, Suite 302
Evanston, IL 60201-2455

Call (847) 328-8899 Map

Fax (847) 328-3545

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X21-000762 (IL)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X19-13567 (IL)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X36-064858 (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 1265411276

Joseph E. Canzona, DDS, MD's National Provider Identifier is 1265411276, issued on Jan 10, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Evanston, IL. The record was last updated on Jul 22, 2008.