Individual provider · Type 1 NPI
Matthew James Bruksch, DDS FACS
Oral and Maxillofacial Surgery (Dentist) · Rockford, IL
NPI number
1538394580
Active
Practice location
449 Roxbury Road
Rockford, IL 61107
Fax (815) 391-5188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 019.027906 (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.
Another provider at this address
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About NPI 1538394580
Matthew James Bruksch, DDS FACS's National Provider Identifier is 1538394580, issued on May 20, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Rockford, IL. The record was last updated on Jan 8, 2019.