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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DANIEL MARK HOMUTH, DDS

Active Sole Proprietor

DR. DANIEL MARK HOMUTH, DDS is a General Dentistry healthcare provider located in ITASCA, Illinois. NPI 1124179601 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · ITASCA, IL

Registration Details

NPI Number
1124179601
Provider Type
Individual
Gender
Male
NPI Issued
Jan 13, 2007 (19.597169492902 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
433 W IRVING PARK RD
ITASCA, IL, 601432039
Browse IL providers · Browse ZIP 60143
Phone
6307731399
Fax
6307730286
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in ITASCA, IL

Name Credential NPI
DR. JOSEPH RICHARD SPERLAZZO D.D.S. 1376562959
LEONIDAS J RAGAS DDS 1134287733
DR. JOHN A GUERRIERI DDS 1225247000
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.