Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUSTIN VILLANUEVA, DMD, MSD, DHL
Active Sole ProprietorDR. JUSTIN VILLANUEVA, DMD, MSD, DHL is a Periodontology healthcare provider located in WOODRIDGE, Illinois. NPI 1174076236 is currently active in the NPPES registry. Verify at CMS.
Periodontology · WOODRIDGE, IL
Registration Details
- NPI Number
- 1174076236
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2016 (10.069302901445 yrs)
- Last Updated
- Jan 29, 2021
- Licenses
-
019030729 (IL)12013130A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7546 JANES AVEWOODRIDGE, IL, 605172926Browse IL providers · Browse ZIP 60517
- Phone
- 6309859787
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
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.