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Contact Information

NEIL GRISETO, BA BDENTSC MS
1S224 SUMMIT AVE STE 311
OAKBROOK TERRACE, IL60181-3944
 Phone: 617-432-1434
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for NEIL GRISETO · (Male)

NPI # 1124504501
Status Active
Credentials BA BDENTSC MS
Entity Individual
Enumeration date 07/18/2018
Last updated 03/24/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019033962
  • IL License # 021003230
  • MA License # DF11527
  • TX License # 33827
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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