NPI 1003072844

Jack Carmen Sasso, DDS

Practitioner Dentist Palos Hgts, IL

Practice location

Address: 7350 W College Dr, Palos Hgts, IL 60463-1188
Phone: (708) 448-1019
Fax: (708) 448-8097

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence A11318 (IL)

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Registry record

NPI: 1003072844
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2008
Record last updated: 31 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.