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

DR. TONY LOUIS MINUTILLO, D.D.S., M.S.D.

Active Sole Proprietor

DR. TONY LOUIS MINUTILLO, D.D.S., M.S.D. is a Pediatric Dentistry healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1427212018 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · CRYSTAL LAKE, IL

Registration Details

NPI Number: 1427212018
Provider Type: Individual
Gender: Male
NPI Issued: Jul 14, 2008 (18.047505276676 yrs)
Last Updated: Jul 14, 2008
License: 019.022613 (IL)
Sole Proprietor: Yes

Practice Information

Address: 820 E TERRA COTTA AVE

SUITE 111

CRYSTAL LAKE, IL, 600143649
Browse IL providers · Browse ZIP 60014
Phone: 8153567960
Fax: 8153568051
Primary Specialty: Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in CRYSTAL LAKE, IL

Name	Credential	NPI
DR. FRED M FITZPATRICK	D.D.S.	1063526796
DR. KATHLEEN ANN SCHROEDER	DDS	1285732438

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.