Provider Demographics
NPI:1790819340
Name:ASPITO, WAYNE A (DDS)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:A
Last Name:ASPITO
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 1:604 MARIAN SQ
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2571
Mailing Address - Country:US
Mailing Address - Phone:630-654-8357
Mailing Address - Fax:
Practice Address - Street 1:1475 E OAKTON ST
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-2166
Practice Address - Country:US
Practice Address - Phone:847-824-2601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics