IndividualActive
Anthony Spina, DDS MD
NPI 1508850272 · Oral and Maxillofacial Surgery (Dentist) · Park Ridge, IL
Provider details
- NPI number
- 1508850272
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS MD
- Sex
- Male
- Sole proprietor
- No
- License
- 019022251 (IL)
Specialties & taxonomies
Dental Providers
Practice location
22 S Washington Ave
Park Ridge, IL 60068-4267
Phone: (847) 268-3910
Fax: (847) 897-3118
Approximate (ZIP-level) locationGet directions
Mailing address
22 S Washington Ave
Park Ridge, IL 60068-4267
Registry dates
- Enumerated
- 2005-09-08
- Last updated
- 2022-10-12
- Certified
- 2022-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.