| Dr. Kenneth V Pineschi Dds Ltd | |
|
1506 N Rockton Ave Kenneth V Pineschi Dds Ltd Rockford IL 61103-4388 | |
| (815) 968-6688 | |
| (815) 968-8989 |
| Full Name | Dr. Kenneth V Pineschi Dds Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1506 N Rockton Ave, Rockford, Illinois |
| Authorized Official Name and Position | Kenneth Victor Pineschi (PRESIDENT OWNER) |
| Authorized Official Contact | 8159686688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kenneth V Pineschi Dds Ltd 1506 N Rockton Ave Kenneth V Pineschi Dds Ltd Rockford IL 61103-4388 Ph: (815) 968-6688 | Dr. Kenneth V Pineschi Dds Ltd 1506 N Rockton Ave Kenneth V Pineschi Dds Ltd Rockford IL 61103-4388 Ph: (815) 968-6688 |
| NPI Number | 1588745426 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588745426 | NPI | - | NPPES |
| 019016143 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019016143 (Illinois) | Primary |
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