Lanette Marie Disera, D.D.S

Dentist · Joliet, IL

Individual Active NPI

NPI number 1679655435

Practice location

4130 W Jefferson St
Joliet, IL 60431-4720
Phone
(815) 744-4333
Fax
(815) 744-4363

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NPI record

NPI
1679655435
Entity type
Individual (Type 1)
Enumeration date
October 20, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — IL

Mailing address

3400 Bankview Dr
Joliet, IL 60431-4802
Phone
(815) 725-4182
Fax
(815) 744-4363

About Dr. Disera

Lanette Marie Disera, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4130 W Jefferson St, Joliet, IL 60431-4720. The NPI number 1679655435 was assigned on October 20, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Lanette Marie Disera, D.D.S?

The NPI number is 1679655435.

What is the phone number of Dr. Disera?

The phone number listed for the practice location is (815) 744-4333.

Where is Dr. Disera located?

4130 W Jefferson St, Joliet, IL 60431-4720.

What is the taxonomy code for Dr. Disera?

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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