Individual provider · Type 1 NPI

Robert A. Colantino, DDS

Oral and Maxillofacial Surgery (Dentist) · Springfield, IL

NPI number 1922092329 Active

Practice location

997 Clock Tower Dr, Suite C
Springfield, IL 62704-1301

Fax (217) 793-5107

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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 1922092329

Robert A. Colantino, DDS's National Provider Identifier is 1922092329, issued on Aug 31, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Springfield, IL. The record was last updated on Aug 1, 2007.