David Alan Petroselli in Carol Stream - Dentist

David Alan Petroselli - NPI 1720241896

David Alan Petroselli is a Dentist in Carol Stream, Illinois. David Alan Petroselli practices all healthcare services and medical treatments related to Dentist. The NPI Number for David Alan Petroselli is 1720241896. The last update date is 2008-07-08.

David Alan Petroselli's current location address is 640 E Saint Charles Rd, Carol Stream, Illinois. You can contact this provider via phone number 6306537890 and fax number 6306532394. The mailing address for David Alan Petroselli is 640 E Saint Charles Rd, Carol Stream, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name David Alan Petroselli
Address 640 E Saint Charles Rd, Carol Stream, Illinois
Phone Number 6306537890
Fax Number 6306532394
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1720241896
Provider Enumeration Date 2008-07-08
Last Updated Date 2008-07-08

Provider Mailing Address Detail

Address 640 E Saint Charles Rd
City Carol Stream
State Illinois (IL)
Post Code 601883083
Phone Number 6306537890
Fax Number 6306532394

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 19A14384
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about David Alan Petroselli

What is the unique identifier code issued to David Alan Petroselli by the Centers for Medicare & Medicaid Services (CMS)?

The David Alan Petroselli has been assigned the NPI (National Provider Identifier) 1720241896. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where David Alan Petroselli is located?

The David Alan Petroselli is situated at the following address: 640 E Saint Charles Rd, Carol Stream, IL, 601883083.

What is David Alan Petroselli's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for David Alan Petroselli is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date did David Alan Petroselli receive its 1720241896 assignment from the Centers for Medicare & Medicaid Services?

The David Alan Petroselli was assigned its 1720241896 on 2008-07-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding David Alan Petroselli, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to David Alan Petroselli, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-08.

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