NPI 1033360169

Peter a Santucci, DDS

Practitioner General Practice Dentistry Orland Park, IL

Practice location

Address: 9957 W 151st St, Orland Park, IL 60462-3113
Phone: (708) 403-6650

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 019 021922 (IL)

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Registry record

NPI: 1033360169
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Oct 2008
Record last updated: 7 Oct 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.