Organization · Type 2 NPI
Jason R. Crescenzo, Dds, P.c.
Dental Clinic/Center · Tinley Park, IL
NPI number
1629374046
Active
Practice location
16345 Harlem Ave Ste 160
Tinley Park, IL 60477-2589
Fax (708) 781-9758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 019027570 (IL) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1629374046
Jason R. Crescenzo, Dds, P.c.'s National Provider Identifier is 1629374046, issued on Feb 2, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tinley Park, IL. The record was last updated on Feb 2, 2011.