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Contact Information

RAYMOND A CRISIO, DMD
4933 BENCHMARK CENTRE DRIVE
SUITE A
SWANSEA, IL62226
 Phone: 618-632-6100
 Fax: 618-632-6156
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for RAYMOND A CRISIO · (Male)

NPI Number 1053354373
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/14/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 01923380
  • IL Medicaid 109696
Hospital affiliation(s) Not Available
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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