institution
John M Domanico, D.d.s., P.c.
Oral and Maxillofacial Surgery (Dentist) in Chicago, Illinois
NPI 1508262544

John M Domanico, D.d.s., P.c. is a Oral and Maxillofacial Surgery (Dentist) based in Chicago, IL and is specialized in Oral and Maxillofacial Surgery. John M Domanico, D.d.s., P.c. practices in Chicago, IL. The NPI Number for John M Domanico, D.d.s., P.c. is 1508262544 and holds a License No. (Illinois).

The current practice location address for John M Domanico, D.d.s., P.c. is 30 N Michigan Ave, Chicago, IL and can be reached out via phone at 312-629-3530 and via fax at 312-629-3516.

Location: 30 N Michigan Ave, Chicago, IL, 60602-3402
institution
Provider Profile Details
NPI Number
1508262544
Provider Name
John M Domanico, D.d.s., P.c.
Credential
Provider Entity Type
Organization
Address
30 N Michigan Ave, Chicago, IL, 60602-3402
Phone Number
312-629-3530
Fax Number
312-629-3516
Provider Enumeration Date
11/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1295840304 01 IL NPPES.CMS.HHS.GOV
1962500348 01 IL NPPES.CMS.HHS.GOV
institution
Provider Business Practice Location Address Details
Address
30 N Michigan Ave
City
State
Zip
60602-3402
Phone Number
312-629-3530
Fax Number
312-629-3516
person
Provider Business Mailing Address Details
Address
30 N Michigan Ave
City
State
Zip
60602-3402
Phone Number
312-629-3530
Fax Number
312-629-3516
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
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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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