Organization · Type 2 NPI

Tammy Giannetta DDS

Dental Clinic/Center · Lockport, IL

NPI number 1083073738 Active

Practice location

16121 S Farrell Rd
Lockport, IL 60441-8200

Call (815) 524-5053 Map

Fax (815) 552-2064

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X019-026431 (IL)

Dental Clinic/Center: Definition to come...

About NPI 1083073738

Tammy Giannetta DDS's National Provider Identifier is 1083073738, issued on Feb 22, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lockport, IL. The record was last updated on Feb 22, 2016.