Individual provider · Type 1 NPI

Robert C. Bosack, DDS

Oral and Maxillofacial Surgery (Dentist) · Orland Park, IL

NPI number 1376550558 Active

Practice location

16011 108th Ave
Orland Park, IL 60467-8786

Fax (708) 460-7919

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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 1376550558

Robert C. Bosack, DDS's National Provider Identifier is 1376550558, issued on Aug 1, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Orland Park, IL. The record was last updated on Jan 22, 2008.