Individual
DR. CHARLES PATRICK MARTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
340 WEST LINCOLN HWY, FRANKFORT, IL 60423
(815) 464-6500
(815) 464-6503
Mailing address
340 WEST LINCOLN HWY, FRANKFORT, IL 60423
(815) 464-6500
(815) 464-6503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19020124
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
37000270
IL
Other
Enumeration date
10/27/2006
Last updated
09/11/2025
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