Andrew Dentino is a Periodontics in West Allis, Wisconsin. Andrew Dentino practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Andrew Dentino is 1871693747. The last update date is 2007-07-08.
Andrew Dentino's current location address is 555 S 108th St, West Allis, Wisconsin. You can contact this provider via phone number 4145666400 and fax number 4145663900. The mailing address for Andrew Dentino is 555 S 108th St, West Allis, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Dentino |
|---|---|
| Address | 555 S 108th St, West Allis, Wisconsin |
| Phone Number | 4145666400 |
| Fax Number | 4145663900 |
| Sole Proprietor | N |
| Credentials | DDS, PHD |
NPI Number Detail
| NPI Number | 1871693747 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 555 S 108th St |
|---|---|
| City | West Allis |
| State | Wisconsin (WI) |
| Post Code | 532141100 |
| Phone Number | 4145666400 |
| Fax Number | 4145663900 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 4463-015 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identification code issued to Andrew Dentino by the Centers for Medicare & Medicaid Services?
The Andrew Dentino has been assigned the NPI (National Provider Identifier) 1871693747 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Andrew Dentino?
The Andrew Dentino is physically situated at 555 S 108Th St, in the city of West Allis, state of WI, with the postal code 532141100.
What is Andrew Dentino's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Andrew Dentino is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date was the 1871693747 assigned to Andrew Dentino?
The Andrew Dentino was issued its 1871693747 on 2006-09-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Andrew Dentino's details last updated?
The information pertaining to the Andrew Dentino, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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