Individual provider · Type 1 NPI

Jason Ralph Crescenzo, DDS

General Practice Dentistry · Tinley Park, IL

NPI number 1114192838 Active

About NPI 1114192838

Jason Ralph Crescenzo, DDS's National Provider Identifier is 1114192838, issued on Apr 23, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tinley Park, IL. The record was last updated on Feb 2, 2011.