Individual provider · Type 1 NPI
Taras Martyniouk, DMD
Oral and Maxillofacial Surgery (Dentist) · Gurnee, IL
NPI number
1730636267
Active
Practice location
310 S Greenleaf St Ste 203
Gurnee, IL 60031-5708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 019.030683 (IL) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 108875 (CA) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 019.030683 (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.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Gurnee
About NPI 1730636267
Taras Martyniouk, DMD's National Provider Identifier is 1730636267, issued on Sep 1, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Gurnee, IL. The record was last updated on Jul 7, 2026.