Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID DWIGHT DOMENELLA, DDS
Active Sole ProprietorDR. DAVID DWIGHT DOMENELLA, DDS is a Dentist healthcare provider located in RICHMOND, Illinois. NPI 1427217918 is currently active in the NPPES registry. Verify at CMS.
Dentist · RICHMOND, IL
Registration Details
- NPI Number
- 1427217918
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2008 (17.999654464707 yrs)
- Last Updated
- Oct 11, 2012
- License
-
019.019680 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9716 US HIGHWAY 12RICHMOND, IL, 600719253Browse IL providers · Browse ZIP 60071
- Phone
- 8156782800
- Fax
- 8156784807
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in RICHMOND, IL
| Name | Credential | NPI |
|---|---|---|
| DR. LISA MARIE SALISBURY | D.D.S. | 1386893220 |
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.