Mario Benjamin Maritato in Kenosha - General Practice
Mario Benjamin Maritato - NPI 1649331695
Mario Benjamin Maritato is a General Practice in Kenosha, Wisconsin. Mario Benjamin Maritato practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mario Benjamin Maritato is 1649331695. The last update date is 2007-07-08.
Mario Benjamin Maritato's current location address is 5008 Green Bay Rd, Kenosha, Wisconsin. You can contact this provider via phone number 2626570504 and fax number 2626570515. The mailing address for Mario Benjamin Maritato is 5008 Green Bay Rd, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mario Benjamin Maritato |
|---|---|
| Address | 5008 Green Bay Rd, Kenosha, Wisconsin |
| Phone Number | 2626570504 |
| Fax Number | 2626570515 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1649331695 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5008 Green Bay Rd |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531441790 |
| Phone Number | 2626570504 |
| Fax Number | 2626570515 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3710 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Mario Benjamin Maritato?
The Mario Benjamin Maritato has been issued the NPI (National Provider Identifier) 1649331695 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Mario Benjamin Maritato?
The Mario Benjamin Maritato is situated at 5008 Green Bay Rd, in the city of Kenosha, state of WI, with the zip code 531441790.
What is the Mario Benjamin Maritato's specialty and taxonomy code?
The Mario Benjamin Maritato's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Mario Benjamin Maritato receive its 1649331695 assignment from the Centers for Medicare & Medicaid Services?
The Mario Benjamin Maritato was assigned its 1649331695 by the Centers for Medicare & Medicaid Services on 2006-12-13.
When was the Mario Benjamin Maritato's information last updated?
The Mario Benjamin Maritato's information was last updated on 2007-07-08.
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