Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LEE MICHAEL CERESA, D.D.S.
Active Sole ProprietorDR. LEE MICHAEL CERESA, D.D.S. is a Endodontics healthcare provider located in PERU, Illinois. NPI 1063513117 is currently active in the NPPES registry. Verify at CMS.
Endodontics · PERU, IL
Registration Details
- NPI Number
- 1063513117
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2006 (19.876740688463 yrs)
- Last Updated
- Sep 30, 2014
- License
-
021001935 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1601 4TH STPERU, IL, 613543507Browse IL providers · Browse ZIP 61354
- Phone
- 8152243636
- Fax
- 8152201479
- Primary Specialty
-
Endodontics
1223E0200X
Other Endodontics Providers in PERU, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MARK ALAN HENRY | DDS MS | 1184889644 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.