SEBASTIAN GRACA DMD NPI 1104445808

NPI Information

  • NPI: 1104445808
  • Provider Name: SEBASTIAN GRACA, DMD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 W CENTRAL RD
    ARLINGTON HEIGHTS, IL
    ZIP 60005
  • Phone: (847) 345-7361

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NPI Details

Sebastian Graca, DMD is an oral and maxillofacial surgery dentist in Arlington Heights, IL. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Sebastian Graca, DMD NPI is 1104445808. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 W CENTRAL RD
ARLINGTON HEIGHTS, IL
ZIP 60005-407
Phone: (847) 345-7361

The NPI 1104445808 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2020 and was last updated on 7/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist019.032604ILLINOISNo
21223S0112XDentistOral and Maxillofacial Surgery021.003333ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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