JOHN MICALETTI D.D.S. M.S. NPI 1912124660

NPI Information

  • NPI: 1912124660
  • Provider Name: JOHN MICALETTI, D.D.S., M.S.
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 115 55TH ST
    SUITE 201
    CLARENDON HILLS, IL
    ZIP 60514
  • Phone: (630) 789-0900

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NPI Details

John Micaletti, D.D.S., M.S. is a periodontics dentist in Clarendon Hills, 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. John Micaletti, D.D.S., M.S. NPI is 1912124660. 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:

115 55TH ST
SUITE 201
CLARENDON HILLS, IL
ZIP 60514-593
Phone: (630) 789-0900
Fax: (630) 789-3861

The enumeration date for this NPI number is 4/20/2007 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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