IndividualActive
Daniel Homuth, DDS
NPI 1124179601 · General Practice Dentistry · Itasca, IL
Provider details
- NPI number
- 1124179601
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
433 W Irving Park Rd
Itasca, IL 60143-2039
Phone: (630) 773-1399
Fax: (630) 773-0286
Approximate (ZIP-level) locationGet directions
Mailing address
433 W Irving Park Rd
Itasca, IL 60143-2039
Registry dates
- Enumerated
- 2007-01-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.