Individual provider · Type 1 NPI
Michael Cosimi, DMD, M.S.
Periodontics · Herrin, IL
NPI number
1881754844
Active
Practice location
408 Lincoln Dr Ste C
Herrin, IL 62948-3790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 021002240 (IL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1881754844
Michael Cosimi, DMD, M.S.'s National Provider Identifier is 1881754844, issued on Dec 11, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Herrin, IL. The record was last updated on May 5, 2022.