Individual provider · Type 1 NPI

Philip William Cannizzaro

General Practice Dentistry · Chicago, IL

NPI number 1972121234 Active

Practice location

801 S Paulina St
Chicago, IL 60612-7210

Mailing address

6N254 Glendale Rd
Medinah, IL 60157-9729

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019.032746 (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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About NPI 1972121234

Philip William Cannizzaro's National Provider Identifier is 1972121234, issued on Jul 13, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Jul 13, 2020.