Whalio Doctors

NPI 1174360986

Peter James Caron, DMD

Practitioner General Practice Dentistry Westchester, IL

Practice location

Address
957 S Mannheim Rd, Westchester, IL 60154-2544
Phone
(708) 513-5001
Mailing address
2626 N Lakeview Ave APT 207, Chicago, IL 60614-1809

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 019035330 (IL)

Registry record

NPI
1174360986
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Jul 2024
Record last updated
9 Jul 2024

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.