Peter Joseph Waidzunas, D.D.S.

General Practice Dentistry · Gurnee, IL

Individual Active NPI

NPI number 1871666917

Practice location

501 N. Milwaukee Avenue
#119
Gurnee, IL 60031-2767
Phone
(847) 336-7300
Fax
(847) 336-1347

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NPI record

NPI
1871666917
Entity type
Individual (Type 1)
Enumeration date
November 16, 2006
Last updated
May 9, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 19015982 IL

About Dr. Waidzunas

Peter Joseph Waidzunas, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 501 N. Milwaukee Avenue, #119, Gurnee, IL 60031-2767. The NPI number 1871666917 was assigned on November 16, 2006 and the record was last updated on May 9, 2013.

Dr. Waidzunas lists a license in the registry: #19015982 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter Joseph Waidzunas, D.D.S.?

The NPI number is 1871666917.

What is the phone number of Dr. Waidzunas?

The phone number listed for the practice location is (847) 336-7300.

Where is Dr. Waidzunas located?

501 N. Milwaukee Avenue, #119, Gurnee, IL 60031-2767.

What is the taxonomy code for Dr. Waidzunas?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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