Michael a. Esposito DDS, P.C.
Organization Active NPI General Practice Dentistry · Berkeley, IL
NPI 1386095933 · NPPES record last updated Jun 24, 2016
Key facts
- NPI
- 1386095933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019-019100 (IL)
- Legal business name
- MICHAEL A. ESPOSITO DDS, P.C.
- Practice address
- 5646 Saint Charles Rd
Suite C
Berkeley, IL 60163-1148 - Phone
- (708) 544-9773
- NPI assigned
- Jun 24, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael A Esposito, DDS
- Title
- Owner
- Phone
- (708) 544-9773
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 019-019100 | IL | Yes |
Addresses
Primary practice location
5646 Saint Charles Rd
Suite C
Berkeley, IL 60163-1148
Mailing address
5646 Saint Charles Rd
Suite C
Berkeley, IL 60163-1148
Phone (708) 544-9773
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019-019100 | Other | IL | STATE DENTAL LICENSE |
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All providers in Berkeley, 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 Jun 24, 2016. 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.