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Dr. Joseph E Canzona, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Evanston, Illinois
NPI 1265411276

Joseph E Canzona is a Oral and Maxillofacial Surgery (Dentist) based in Evanston, IL and is specialized in Oral and Maxillofacial Surgery. Joseph E Canzona practices in Evanston, IL and has the professional credentials of DDS,MD. The NPI Number for Joseph E Canzona is 1265411276 and holds a License No. 21-000762 (Illinois).

The current practice location address for Joseph E Canzona is 2500 Ridge Ave, Evanston, IL and can be reached out via phone at 847-328-8899 and via fax at 847-328-3545. You can also correspond with Joseph E Canzona through the mailing address at 2500 RIDGE AVE, EVANSTON, IL - 60201-2455 (mailing address contact number: 847-328-8899).

Location: 2500 Ridge Ave, Evanston, IL, 60201-2455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265411276
Provider Name
Joseph E Canzona
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
2500 Ridge Ave, Evanston, IL, 60201-2455
Phone Number
847-328-8899
Fax Number
847-328-3545
Provider Enumeration Date
01/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TAX ID 01 IL 36-3349069
institution
Provider Business Practice Location Address Details
Address
2500 Ridge Ave
City
Evanston
State
Illinois
Zip
60201-2455
Phone Number
847-328-8899
Fax Number
847-328-3545
person
Provider Business Mailing Address Details
Address
2500 Ridge Ave
City
Evanston
State
Illinois
Zip
60201-2455
Phone Number
847-328-8899
Fax Number
847-328-3545
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
21-000762 (Illinois)
Definition
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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