Colletti, Dominic A

Colletti, Dominic A is an sole proprietor health care provider with primary practice located at 176 S Bloomingdale Rd , Bloomingdale IL 60108-1404. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Colletti, Dominic A can be contacted via phone (630) 893-6200.

Contact Information

Primary practice address
176 S Bloomingdale Rd Bloomingdale IL 60108-1404
Fax: (630) 893-0474
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-020136 Illinois

Profile Details

NPI number 1215198098
LBN Legal business name Colletti, Dominic A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2008
Last updated Jun 24th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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