National Provider Identifier Database

LEE M CERESA, DDS – NPI #1063513117
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

LEE M CERESA, DDS
1601 4TH ST
PERU, IL61354-3507
Phone: 815-224-3636
Fax: 815-220-1479
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for LEE M CERESA

NPI Number 1063513117
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/25/2006
Last updated 09/30/2014 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 021001935
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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