Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Richard Maddalozzo, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1154269744

Dr. Jack Richard Maddalozzo, DMD is an Oral and Maxillofacial Surgery (Dentist) in Maywood, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (888) 584-7888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 019.037091 (IL)

Record details

NPI number1154269744
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 24, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

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