Individual provider · Type 1 NPI

Robin Brent Blakkolb, DDS

Oral and Maxillofacial Surgery (Dentist) · Downers Grove, IL

NPI number 1508945437 Active

Practice location

6800 Main St, Suite 106
Downers Grove, IL 60516-3493

Call (630) 964-5880 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X021-001127 (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 1508945437

Robin Brent Blakkolb, DDS's National Provider Identifier is 1508945437, issued on Nov 2, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Downers Grove, IL. The record was last updated on Apr 23, 2008.