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

D J PROVENZALE & D J PROVENZALE JR

Active Organization

D J PROVENZALE & D J PROVENZALE JR is a General Dentistry organization located in DOWNERS GROVE, Illinois. NPI 1710109145 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · DOWNERS GROVE, IL

Registration Details

NPI Number
1710109145
Provider Type
Organization
NPI Issued
May 3, 2007 (19.099339921411 yrs)
Last Updated
Aug 22, 2020
Licenses
19A12314 (IL)
19021170 (IL)

Practice Information

Address
4336 SARATOGA AVE
DOWNERS GROVE, IL, 60515
Browse IL providers · Browse ZIP 60515
Phone
6309697711
Fax
6309697723
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Organizations in DOWNERS GROVE, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.