Demetrios Louis Consolo in Walworth - Dental Assistant

Demetrios Louis Consolo - NPI 1780874016

Demetrios Louis Consolo is a Dental Assistant in Walworth, New York. Demetrios Louis Consolo practices all healthcare services and medical treatments related to Dental Assistant. The NPI Number for Demetrios Louis Consolo is 1780874016. The last update date is 2007-08-01.

Demetrios Louis Consolo's current location address is 1720 Waterford Rd, Walworth, New York. You can contact this provider via phone number 9094345129. The mailing address for Demetrios Louis Consolo is 1720 Waterford Rd, Walworth, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Demetrios Louis Consolo
Address 1720 Waterford Rd, Walworth, New York
Phone Number 9094345129
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1780874016
Provider Enumeration Date 2007-08-01
Last Updated Date 2007-08-01

Provider Mailing Address Detail

Address 1720 Waterford Rd
City Walworth
State New York (NY)
Post Code 145689424
Phone Number 9094345129
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dental Assistant
Taxonomy 126800000X
Definition:
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. Th

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FAQs about Demetrios Louis Consolo

What is the unique provider identifier assigned to Demetrios Louis Consolo?

The Demetrios Louis Consolo has been issued the NPI (National Provider Identifier) 1780874016 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Demetrios Louis Consolo is physically located?

The Demetrios Louis Consolo is physically situated at the following address: 1720 Waterford Rd, Walworth, NY, 145689424.

What is Demetrios Louis Consolo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Demetrios Louis Consolo's specialized field of practice is Dental Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 126800000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1780874016 to Demetrios Louis Consolo?

The Centers for Medicare & Medicaid Services assigned the 1780874016 to Demetrios Louis Consolo on 2007-08-01.

As of what date was the information pertaining to Demetrios Louis Consolo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Demetrios Louis Consolo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-01.

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