Provider Demographics
NPI:1699806406
Name:D'ALOIA, PETER CARL (DDS)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:CARL
Last Name:D'ALOIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8127 W WINNEMAC AVE
Mailing Address - Street 2:
Mailing Address - City:NORRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60706-3142
Mailing Address - Country:US
Mailing Address - Phone:773-237-6620
Mailing Address - Fax:
Practice Address - Street 1:6953 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-4650
Practice Address - Country:US
Practice Address - Phone:773-237-6620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice