Crescenzo, Jason Ralph

Crescenzo, Jason Ralph is an individual health care provider with primary practice located at 16345 Harlem Ave Ste 160 , Tinley Park IL 60477-2589. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Crescenzo, Jason Ralph can be contacted via phone (708) 781-9754.

Contact Information

Primary practice address
16345 Harlem Ave Ste 160 Tinley Park IL 60477-2589
Phone: (708) 781-9754
Fax: (708) 781-9758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019027570 Illinois

Profile Details

NPI number 1114192838
LBN Legal business name Crescenzo, Jason Ralph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Feb 2nd, 2011 - about 13 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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