| Alex M. Pentino D.d.s., Inc. | |
|
48258 National Rd Saint Clairsville OH 43950-9705 | |
| (740) 695-5700 | |
| (740) 695-5701 |
| Full Name | Alex M. Pentino D.d.s., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 48258 National Rd, Saint Clairsville, Ohio |
| Authorized Official Name and Position | Alex Michael Pentino (PRESIDENT) |
| Authorized Official Contact | 3042663495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alex M. Pentino D.d.s., Inc. 48258 National Rd Saint Clairsville OH 43950-9705 Ph: (740) 695-5700 | Alex M. Pentino D.d.s., Inc. 48258 National Rd Saint Clairsville OH 43950-9705 Ph: (740) 695-5700 |
| NPI Number | 1790423762 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 05/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790423762 | NPI | - | NPPES |
| 3001432 | Medicaid | OH | |
| 1063675791 | Other | PROVIDER NPI NUMBER | |
| 30-022756 | Other | OH | DENTAL LICENSE NUMBER |
| 3830 | Other | WV | DENTAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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