GARY JAMES PELLIZZARO D.M.D. NPI 1336150937

NPI Information

Gary James Pellizzaro, D.M.D. is a general practice dentist in Carlinville, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Gary James Pellizzaro, D.M.D. NPI is 1336150937. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

827 N BROAD ST
CARLINVILLE, IL
ZIP 62626-075
Phone: (217) 854-5059

The NPI 1336150937 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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