Individual provider · Type 1 NPI
Phillip Cannizzaro, DDS
General Practice Dentistry · North Riverside, IL
NPI number
1629130620
Active
Practice location
3006 Desplaines Ave
North Riverside, IL 60546-1861
Fax (708) 447-8400
Mailing address
3006 S. Desplaines Ave.
North Riverside, IL 60546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 19A13321 (IL) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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- Ryan NemehGeneral Practice Dentistry North Riverside, IL NPI 1538906128
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About NPI 1629130620
Phillip Cannizzaro, DDS's National Provider Identifier is 1629130620, issued on Dec 15, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in North Riverside, IL. The record was last updated on Jul 8, 2007.