Dr. Nicholas Peretti
Oral and Maxillofacial Surgeon
2160 S 1st Ave Bldg. 105 Suite 1814
Maywood
, Illinois 60153-3328
Dr. Nicholas Peretti
Oral and Maxillofacial Surgeon
2160 S 1st Ave Bldg. 105 Suite 1814
Maywood
, Illinois 60153-3328
(888) 584-7888
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Nicholas Peretti
- 2160 S 1st Ave
- Maywood, IL
- Zip : 60153-3328
- Phone : (888) 584-7888
Second Address
- Dr. Nicholas Peretti
- 2160 S 1st Ave Bldg. 105 Suite 1814
- Maywood, IL
- Zip : 60153-3328
- Phone : (888) 584-7888
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 17106 | MT |
National Provider Identifier
| NPI | 1013301993 |
|---|---|
| Provider Name | Dr. Nicholas Peretti |
| First Address | Maywood, IL 60153-3328 |
| Second Address | Maywood, IL 60153-3328 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2015 |
| Last Update Date | 08/07/2019 |
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.