Individual provider · Type 1 NPI
Jason Sean Schrotenboer, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Chicago, IL
NPI number
1336377456
Active
Practice location
3927 W Belmont Ave Ste 101
Chicago, IL 60618-5170
Fax (773) 945-5004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 019030332 (IL) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 019030332 (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 1336377456
Jason Sean Schrotenboer, DDS, MD's National Provider Identifier is 1336377456, issued on Jun 26, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Chicago, IL. The record was last updated on Nov 9, 2021.