Rose M. Vivirito, D.D.S.

General Practice Dentistry · St Charles, IL

Individual Active NPI

NPI number 1871740472

Practice location

2210 Dean St
Ste J1
St Charles, IL 60175
Phone
(630) 377-9007
Fax
(630) 377-9112

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NPI record

NPI
1871740472
Entity type
Individual (Type 1)
Enumeration date
August 26, 2008
Last updated
August 26, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019-021799 IL

About Dr. Vivirito

Rose M. Vivirito, 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 2210 Dean St, Ste J1, St Charles, IL 60175. The NPI number 1871740472 was assigned on August 26, 2008 and the record was last updated on August 26, 2008.

Dr. Vivirito lists a license in the registry: #019-021799 (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 Rose M. Vivirito, D.D.S.?

The NPI number is 1871740472.

What is the phone number of Dr. Vivirito?

The phone number listed for the practice location is (630) 377-9007.

Where is Dr. Vivirito located?

2210 Dean St, Ste J1, St Charles, IL 60175.

What is the taxonomy code for Dr. Vivirito?

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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