Organization · Type 2 NPI

John M Domanico, D.d.s., P.c.

Oral and Maxillofacial Surgery (Dentist) · Chicago, IL

NPI number 1508262544 Active

Practice location

30 N Michigan Ave, SUITE522
Chicago, IL 60602-3402

Fax (312) 629-3516

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.

247 other providers at this address

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About NPI 1508262544

John M Domanico, D.d.s., P.c.'s National Provider Identifier is 1508262544, issued on Nov 18, 2014. 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 18, 2014.