Individual provider · Type 1 NPI

Andrew Thomas Bracci, DMD

Oral and Maxillofacial Surgery (Dentist) · Great Lakes, IL

NPI number 1528046620 Active

Practice location

3001 6th St
Great Lakes, IL 60088-2833

Mailing address

1212 N Lasalle St, Unit 1105
Chicago, IL 60610-8027

Other practice locations

  • 151 Sullys Trl, Pittsford, NY 14534-4562 · (585) 385-4867
  • 117 Linwood Ave, Buffalo, NY 14209-2003 · (716) 882-6333

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X19026285 (IL)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X055288 (NY)

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 1528046620

Andrew Thomas Bracci, DMD's National Provider Identifier is 1528046620, issued on Jan 9, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Great Lakes, IL. The record was last updated on Apr 9, 2024.