Provider Demographics
NPI:1194890400
Name:SHARON SZESZYCKI DDS & MICHAEL A CERONE DDS LTD
Entity type:Organization
Organization Name:SHARON SZESZYCKI DDS & MICHAEL A CERONE DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CERONE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-627-0899
Mailing Address - Street 1:845 S MAIN
Mailing Address - Street 2:SUITE 303
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148
Mailing Address - Country:US
Mailing Address - Phone:630-627-0899
Mailing Address - Fax:630-627-0935
Practice Address - Street 1:845 S MAIN
Practice Address - Street 2:SUITE 303
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148
Practice Address - Country:US
Practice Address - Phone:630-627-0899
Practice Address - Fax:630-627-0935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty