Lee M. Ceresa Dds

LBN: Illinois Valley Endodontics Llc
Lee M. Ceresa Dds is an health care organization with primary practice located at 1601 4Th St , Peru IL 61354-3507. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Illinois Valley Endodontics Llc can be contacted via phone (815) 224-3636, or through Ceresa, Lee Michael via phone (815) 224-3636.

Contact Information

Primary practice address
1601 4Th St Peru IL 61354-3507
Phone: (815) 224-3636
Fax: (815) 220-1479
Website:
Map and Directions
Authorized official contact:
Name: Ceresa, Lee Michael Doctor of Dental Surgery (DDS)
Phone: (815) 224-3636

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X Illinois

Profile Details

NPI number 1407031305
LBN Legal business name Illinois Valley Endodontics Llc
DBA Doing business as Lee M. Ceresa Dds
Authorized official Ceresa, Lee Michael Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2008
Last updated Jan 9th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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