William G. Mitsos, DDS

Dentist · Kankakee, IL

Individual Active NPI

NPI number 1194912709

Practice location

1291 S Seventh Ave
Kankakee, IL 60901
Phone
(815) 932-0022
Fax
(815) 932-1202

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NPI record

NPI
1194912709
Entity type
Individual (Type 1)
Enumeration date
September 27, 2007
Last updated
September 27, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — IL

About Dr. Mitsos

William G. Mitsos, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1291 S Seventh Ave, Kankakee, IL 60901. The NPI number 1194912709 was assigned on September 27, 2007 and the record was last updated on September 27, 2007.

Frequently asked questions

What is the NPI number of William G. Mitsos, DDS?

The NPI number is 1194912709.

What is the phone number of Dr. Mitsos?

The phone number listed for the practice location is (815) 932-0022.

Where is Dr. Mitsos located?

1291 S Seventh Ave, Kankakee, IL 60901.

What is the taxonomy code for Dr. Mitsos?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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