Provider Demographics
NPI:1154623684
Name:SUSAN A CASCINO, DDS, PC
Entity type:Organization
Organization Name:SUSAN A CASCINO, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CASCINO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-355-5010
Mailing Address - Street 1:1816 BAY SCOTT CIR STE 104
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-1113
Mailing Address - Country:US
Mailing Address - Phone:630-355-5010
Mailing Address - Fax:630-355-4317
Practice Address - Street 1:1816 BAY SCOTT CIR STE 104
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-1113
Practice Address - Country:US
Practice Address - Phone:630-355-5010
Practice Address - Fax:630-355-4317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty