WAYNE M MRJENOVICH DDS PC
NPI 1013076348
Dentist - General Practice in Lansing, IL

Active since December 06, 2006
19111 BURNHAM AVE, LANSING, IL 60438(708) 895-0500(708) 895-7700 Get Directions Write a Review

NPPES record last updated: July 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wayne M Mrjenovich Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYNE M MRJENOVICH DDS PC (NPI 1013076348) is a healthcare organization registered as a general practice in Lansing, Illinois and active in the NPI registry since December 2006. The organization lists Wayne Michael Mrjenovich, President, as its authorized official.

NPPES Registry Identity

NPI1013076348
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWAYNE M MRJENOVICH DDS PC
Location Address19111 BURNHAM AVELansing, IL 60438
Mailing Address19111 Burnham AveLansing, IL 60438 · (708) 895-0500 · Fax (708) 895-7700
Fax(708) 895-7700
Organization SubpartNo
Authorized OfficialWayne Michael MrjenovichPresident · (708) 895-0500
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 24, 2007
NPI 1013076348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
19111 BURNHAM AVE, Lansing, IL 60438

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Day Care)
19111 BURNHAM AVE
LANSING, IL 60438
Early Intervention Provider Agency
19111 BURNHAM AVE
LANSING, IL 60438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wayne M Mrjenovich Dds PC's NPI number?

The NPI number for Wayne M Mrjenovich Dds PC is 1013076348. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Wayne M Mrjenovich Dds PC located?

Wayne M Mrjenovich Dds PC is located at 19111 Burnham Ave, Lansing, IL 60438. The listed phone number is (708) 895-0500.

What is Wayne M Mrjenovich Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Wayne M Mrjenovich Dds PC was last updated on July 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.