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Dr. Henry Vicioso, DDS
General Practice Dentistry in Shorewood, Illinois
NPI 1932129723

Henry Vicioso is a General Practice Dentistry based in Shorewood, IL and is specialized in General Practice. Henry Vicioso practices in Shorewood, IL and has the professional credentials of DDS. The NPI Number for Henry Vicioso is 1932129723 and holds a License No. (Illinois).

The current practice location address for Henry Vicioso is 607 W Jefferson St, Shorewood, IL and can be reached out via phone at 815-725-5991 and via fax at 815-725-1983.

Location: 607 W Jefferson St, Shorewood, IL, 60431-9701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932129723
Provider Name
Henry Vicioso
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
607 W Jefferson St, Shorewood, IL, 60431-9701
Phone Number
815-725-5991
Fax Number
815-725-1983
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
607 W Jefferson St
City
Shorewood
State
Illinois
Zip
60431-9701
Phone Number
815-725-5991
Fax Number
815-725-1983
person
Provider Business Mailing Address Details
Address
607 W Jefferson St
City
Shorewood
State
Illinois
Zip
60431-9701
Phone Number
815-725-5991
Fax Number
815-725-1983
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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