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NPI Code Detail

MEDICARE: DR. RICHARD ANTHONY BATTISTONI DDS

MEDICARE:  DR. RICHARD ANTHONY BATTISTONI  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics DentistryIL

General Provider Information

NPI Number : 1720124340
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD ANTHONY BATTISTONI DDS
Provider Business Mailing Address
First Line : 6855 W NORTH AVE
Second Line :
City : OAK PARK
State : IL
Zip : 60302
Country : US
Telephone Number : 708-848-5900
Fax Number : 708-848-0315
Provider Business Practice Location Address
First Line : 6855 W NORTH AVE
Second Line :
City : OAK PARK
State : IL
Zip : 60302
Country : US
Telephone Number : 708-848-5900
Fax Number : 708-848-0315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 07/08/2007

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Directions to “ DR. RICHARD ANTHONY BATTISTONI DDS” Practice Location

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