Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD DOMINA, DDS
ActiveMR. EDWARD DOMINA, DDS is a General Dentistry healthcare provider located in ORLAND PK, Illinois. NPI 1639290315 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ORLAND PK, IL
Registration Details
- NPI Number
- 1639290315
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2007 (19.381833092448 yrs)
- Last Updated
- Jul 8, 2007
- License
-
019A15355 (IL)
Practice Information
- Address
-
8651 WEST 159TH STREETSUITE 1ORLAND PK, IL, 60462Browse IL providers · Browse ZIP 60462
- Phone
- 7084290900
- Fax
- 7084608096
- Primary Specialty
-
General Dentistry
1223G0001X
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.