John B Caldieraro III, DMD, PC
Organization Active NPI General Practice Dentistry · Staunton, IL
NPI 1982154027 · NPPES record last updated Oct 13, 2016
Key facts
- NPI
- 1982154027
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019027703 (IL)
- Legal business name
- JOHN B CALDIERARO III, DMD, PC
- Practice address
- 20657 Staunton Rd
Staunton, IL 62088-4350 - Phone
- (618) 635-8333
- NPI assigned
- Oct 13, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. John B Caldieraro III, DMD
- Title
- Owner
- Phone
- (618) 635-8333
Practitioners 1
National Provider Directory
Locations
20657 Staunton Rd
Staunton, IL 62088
Phone (618) 635-8333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 019027703 | IL | Yes |
Addresses
Primary practice location
20657 Staunton Rd
Staunton, IL 62088-4350
Mailing address
20657 Staunton Rd
Staunton, IL 62088-4350
Phone (618) 635-8333
Other names
- Caldieraro Dental
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All providers in Staunton, 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 Oct 13, 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.