IndividualActive
Austin Cacciaglia, DDS
NPI 1043982739 · Oral and Maxillofacial Surgery (Dentist) · Maywood, IL
Provider details
- NPI number
- 1043982739
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 019032889 (IL)
Specialties & taxonomies
Dental Providers
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (888) 584-7888
Approximate (ZIP-level) locationGet directions
Mailing address
2274 Winter Ridge Dr
Traverse City, MI 49686-8244
Additional practice locations (1)
- 3d Dental Battalion, 3d MlgUnit 38450 Fpo ApOkinawa, OKINAWA 96373Phone: (231) 632-1571
Registry dates
- Enumerated
- 2021-09-30
- Last updated
- 2023-05-24
- Certified
- 2023-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.