David Alan Pesavento, DDS, LTD

Primary specialty

DentistTaxonomy code 122300000X

License

01914382 Issued in IL

Legal business name

DAVID ALAN PESAVENTO, DDS, LTD

Practice address

1940 West Galena Blvd
Suite 6
Aurora, IL 60506

Phone

(630) 896-7739

Fax

(630) 896-7730

NPI assigned

Aug 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Alan Pesavento, DDS

Title

Dentist/Orthodontist

Phone

(630) 896-7739

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306859814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 WEST GALENA BLVD",
            "address_2": "SUITE 6",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60506",
            "telephone_number": "630-896-7739",
            "fax_number": "630-896-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 WEST GALENA BLVD",
            "address_2": "SUITE 6",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60506",
            "telephone_number": "630-896-7739",
            "fax_number": "630-896-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ALAN PESAVENTO, DDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PESAVENTO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DENTIST/ORTHODONTIST",
        "authorized_official_telephone_number": "630-896-7739",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "01914382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Aurora, IL
• Providers in Aurora, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.