John B Caldieraro III, Dmd, PC
Dentist, General Practice in Staunton, IL. Organization (NPI-2).
NPI number1982154027
StatusActive
Last updated in NPPESOct 13, 2016
Details
- NPI
- 1982154027
- Entity type
- Organization (NPI-2)
- Legal business name
- John B Caldieraro III, Dmd, PC
- Organization subpart
- No
- Enumeration date
- Oct 13, 2016
- Last updated
- Oct 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019027703 | IL | Yes |
Other names
- Caldieraro Dental (Doing Business As)
Practice location
20657 Staunton RdStaunton, IL 62088-4350
Phone 618-635-8333
Mailing address
20657 Staunton RdStaunton, IL 62088-4350
Phone 618-635-8333
Authorized official
John B Caldieraro
Owner
6186358333
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