John a. Marsala D.D.S. ; LTD
Organization Active NPI General Practice Dentistry · River Grove, IL
NPI 1366699142 · NPPES record last updated Nov 30, 2009
Key facts
- NPI
- 1366699142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 19-18724 (IL)
- Legal business name
- JOHN A. MARSALA D.D.S. ; LTD
- Practice address
- 8225 Grand Ave
River Grove, IL 60171-1517 - Phone
- (630) 310-4897
- NPI assigned
- Aug 22, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. John A Marsala, D.D.S.
- Title
- President
- Phone
- (630) 310-4897
National Provider Directory
Locations
8225 Grand Ave
River Grove, IL 60171
Phone (708) 453-1110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 19-18724 | IL | Yes |
Addresses
Primary practice location
8225 Grand Ave
River Grove, IL 60171-1517
Mailing address
8225 Grand Ave
River Grove, IL 60171-1517
Phone (630) 310-4897
Other providers in River Grove, IL
- Davina Harris
- Head First Health, LLC
- Kevin Hendrix
- Andrea Evelyn Hinojosa
- Lawrence T Jacobs
- Sydney Lee Kurtz
- Alison Laton
- Lawrence T Jacobs DDS PC
- Nada Marei
- Dana Jamison McCoy
All providers in River Grove, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.