Whalio Doctors

NPI 1992151682

Eric Safranski, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Maywood, IL

Practice location

Address
2160 S 1st Ave, Maywood, IL 60153-3328
Phone
(708) 216-9000
Fax
(708) 216-3489
Mailing address
3801 Glenkerry CT STE 2, Portage, MI 49024-0711

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 2901600429 (MI)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 2901600429 (MI)

Registry record

NPI
1992151682
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 May 2016
Record last updated
20 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.