Individual provider · Type 1 NPI

Colbern Josefchak, D.D.S

Oral and Maxillofacial Surgery (Dentist) · Maywood, IL

NPI number 1902609134 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Fax (708) 327-3489

Mailing address

2627 Severance St
Los Angeles, CA 90007-2531

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X018.002304 (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 1902609134

Colbern Josefchak, D.D.S's National Provider Identifier is 1902609134, issued on Mar 31, 2025. 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 Jun 5, 2025.