Individual provider · Type 1 NPI
Ronald George Testa, DDS
Pediatric Dentistry · Kankakee, IL
NPI number
1265850655
Active
Practice location
202 N. Schuyler Ave
Kankakee, IL 60901
Mailing address
530 Plymouth Court
Frankfort, IN 60423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 019-014418 (IL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1265850655
Ronald George Testa, DDS's National Provider Identifier is 1265850655, issued on Apr 2, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Kankakee, IL. The record was last updated on Apr 2, 2014.