Individual
DR. MATTHEW MARK WITKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
20 EXECUTIVE CT STE 1, SOUTH BARRINGTON, IL 60010-9543
(847) 550-3460
Mailing address
2405 RIVER WOODS DR, NAPERVILLE, IL 60565-6356
(313) 407-6569
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
021.003457
IL
1223G0001X
General Practice Dentistry
019032088
IL
390200000X
Student in an Organized Health Care Education/Training Program
RES-30652
IA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/14/2018
Last updated
07/22/2025
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