Organization · Type 2 NPI

D J Provenzale & D J Provenzale JR

General Practice Dentistry · Downers Grove, IL

NPI number 1710109145 Active

Practice location

4336 Saratoga Ave
Downers Grove, IL 60515

Fax (630) 969-7723

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X19021170 (IL)
General Practice Dentistry 1223G0001X19A12314 (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.

3 other providers at this address

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About NPI 1710109145

D J Provenzale & D J Provenzale JR's National Provider Identifier is 1710109145, issued on May 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Downers Grove, IL. The record was last updated on Aug 22, 2020.