Provider Demographics
NPI:1053807164
Name:OLEARI, VALDO PETER II (DDS)
Entity type:Individual
Prefix:DR
First Name:VALDO
Middle Name:PETER
Last Name:OLEARI
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOSHUA
Other - Middle Name:
Other - Last Name:OLEARI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:707 LAKE COOK RD STE 107
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-4909
Mailing Address - Country:US
Mailing Address - Phone:847-564-2180
Mailing Address - Fax:847-564-2466
Practice Address - Street 1:707 LAKE COOK RD STE 107
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4909
Practice Address - Country:US
Practice Address - Phone:847-564-2180
Practice Address - Fax:847-564-2466
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0317631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice