Individual provider · Type 1 NPI
Richard P. Martino, DDS
Oral and Maxillofacial Surgery (Dentist) · Lake Forest, IL
NPI number
1487694097
Active
Practice location
900 N Westmoreland Rd, Suite 208
Lake Forest, IL 60045-1674
Fax (847) 234-3391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | None listed |
| Dentist | 122300000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None 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 1487694097
Richard P. Martino, DDS's National Provider Identifier is 1487694097, issued on Jun 8, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lake Forest, IL. The record was last updated on Sep 11, 2025.