Provider Demographics
NPI:1679875272
Name:ASPITO, DEAN A (DDS)
Entity type:Individual
Prefix:DR
First Name:DEAN
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 1:2184 BLOOMINGDALE RD STE B
Practice Address - Street 2:
Practice Address - City:GLENDALE HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60139-1601
Practice Address - Country:US
Practice Address - Phone:630-529-5559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2010-12-02
Deactivation Date:2010-11-16
Deactivation Code:
Reactivation Date:2010-12-02
Provider Licenses
StateLicense IDTaxonomies
IL021-0016061223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics