LEE M. CERESA DDS
NPI 1407031305
Dentist - Endodontics in Peru, IL

Active since January 09, 2008
1601 4TH ST, PERU, IL 61354(815) 224-3636(815) 220-1479 Get Directions Write a Review

NPPES record last updated: January 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lee M. Ceresa Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEE M. CERESA DDS (NPI 1407031305) is a healthcare organization registered as an endodontics in Peru, Illinois and active in the NPI registry since January 2008. The organization lists Lee Michael Ceresa, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1407031305
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameILLINOIS VALLEY ENDODONTICS LLC
Location Address1601 4TH STPeru, IL 61354-3507
Mailing Address1601 4th StPeru, IL 61354-3507 · (815) 224-3636 · Fax (815) 220-1479
Fax(815) 220-1479
Organization SubpartNo
Authorized OfficialLee Michael CeresaOwner/dentist · (815) 224-3636
Enumeration DateJanuary 9, 2008
NPI 1407031305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1601 4TH ST, Peru, IL 61354

Other Names 1

Doing Business AsLee M. Ceresa Dds

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Endodontics)
1601 4TH ST
PERU, IL 61354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illinois Valley Endodontics LLC's NPI number?

The NPI number for Illinois Valley Endodontics LLC is 1407031305. It was assigned to this organization in the NPPES registry on January 9, 2008. The provider is doing business as Lee M. Ceresa Dds.

Where is Illinois Valley Endodontics LLC located?

Illinois Valley Endodontics LLC is located at 1601 4th St, Peru, IL 61354. The listed phone number is (815) 224-3636.

What is Illinois Valley Endodontics LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Illinois Valley Endodontics LLC was last updated on January 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.