Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL P PESAVENTO, DDS
Active Sole ProprietorDR. RUSSELL P PESAVENTO, DDS is a Dentist healthcare provider located in JOLIET, Illinois. NPI 1861933137 is currently active in the NPPES registry. Verify at CMS.
Dentist · JOLIET, IL
Registration Details
- NPI Number
- 1861933137
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2017 (9.3861871782076 yrs)
- Last Updated
- Mar 20, 2017
- License
-
019.030884 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1118 N LARKIN AVEJOLIET, IL, 604353456Browse IL providers · Browse ZIP 60435
- Phone
- 8157142271
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in JOLIET, IL
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD ALAN FAIERSON | D.D.S. | 1356344857 |
| DR. MARK STEVEN STREITZ | DDS | 1164520003 |
| RITA J TAMULIS SHEA | DDS | 1659468221 |
| DR. ALEXANDER E RITCHEY | DMD MS | 1942380571 |
| DR. LANETTE MARIE DISERA | D.D.S | 1679655435 |
| DR. CHRISTINE LIN DUNHAM | D.D.S. | 1033291729 |
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.