Individual provider · Type 1 NPI
John Phillip Lavieri, DDS
Oral and Maxillofacial Surgery (Dentist) · La Salle, IL
NPI number
1467546689
Active
Practice location
206 Marquette Street, Suite 311
La Salle, IL 61301-2483
Fax (815) 224-3220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.
2 other providers at this address
About NPI 1467546689
John Phillip Lavieri, DDS's National Provider Identifier is 1467546689, issued on Oct 3, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in La Salle, IL. The record was last updated on Apr 4, 2008.