RUSSELL J. CECALA D.D.S. M.S. LTD DBA PERIOCARE NPI 1841318805

NPI Information

RUSSELL J. CECALA, D.D.S., M.S., LTD DBA PERIOCARE is a periodontics dentist in Chicago, IL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. RUSSELL J. CECALA, D.D.S., M.S., LTD DBA PERIOCARE NPI is 1841318805. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Periocare.

The provider's business location address is:

7447 W TALCOTT AVE
SUITE 227
CHICAGO, IL
ZIP 60631-745
Phone: (773) 631-0344
Fax: (773) 631-0211

The provider's authorized official is Russell J. Cecala .
The authorized official title is President/owner and has the following contact phone number (773) 631-0344.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 12/22/2014.

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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