Individual provider · Type 1 NPI

Ethan Glenn Meier

Oral and Maxillofacial Surgery (Dentist) · Maywood, IL

NPI number 1780443440 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Call (888) 584-7888 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X019.035078 (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 1780443440

Ethan Glenn Meier's National Provider Identifier is 1780443440, issued on Mar 15, 2024. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Maywood, IL. The record was last updated on May 25, 2024.