SearchIllinoisOral and Maxillofacial Surgery (Dentist)

Matthew Bruksch, DDS FACS

NPI 1538394580 · on the registry since 2009

Practice

Address
449 Roxbury Road
Rockford, IL 61107
Phone
(815) 226-4700
Fax
(815) 391-5188
Clinicians at this address
2

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois