MEDICARE: PETER PERRY SAVAS D.D.S.

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
1	1223P0221X	Pediatric Dentistry		IL

General Provider Information

NPI Number	:	1932288537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER PERRY SAVAS D.D.S.

Provider Business Mailing Address
First Line	:	7001 W 127TH ST
Second Line	:	SUITE 103
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1573
Country	:	US
Telephone Number	:	708-448-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	7001 W 127TH ST
Second Line	:	SUITE 103
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1573
Country	:	US
Telephone Number	:	708-448-1100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	07/08/2007

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