Dr. Alissa Nicole Pullos
Oral and Maxillofacial Surgeon
105 E 1st St Ste 103
Hinsdale
, Illinois 60521
Dr. Alissa Nicole Pullos
Oral and Maxillofacial Surgeon
105 E 1st St Ste 103
Hinsdale
, Illinois 60521
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Alissa Nicole Pullos
- 105 E 1st St Ste 103
- Hinsdale, IL
- Zip : 60521-4248
- Phone :
Second Address
- Dr. Alissa Nicole Pullos
- 105 E 1st St Ste 103
- Hinsdale, IL
- Zip : 60521
- Phone : (630) 789-8070
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 019032322 | IL |
National Provider Identifier
| NPI | 1043607872 |
|---|---|
| Provider Name | Dr. Alissa Nicole Pullos |
| First Address | Hinsdale, IL 60521-4248 |
| Second Address | Hinsdale, IL 60521 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2015 |
| Last Update Date | 12/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.