Individual
DR. JULIA R PESAVENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1075 FEATHERSTONE RD STE 30, ROCKFORD, IL 61107-5906
(815) 395-1711
(815) 395-1705
Mailing address
1075 FEATHERSTONE ROAD, SUITE 30, ROCKFORD, IL 61072
(815) 395-1711
(815) 395-1705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-019656
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURTIY NUMBER
IL
01
—
019-019656
LICENSE NUMBER
IL
Enumeration date
04/16/2007
Last updated
05/28/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us