DR. MARIO BENJAMIN MARITATO D.D.S. NPI 1649331695

NPI Information

NPI: 1649331695
Provider Name: DR. MARIO BENJAMIN MARITATO, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
5008 GREEN BAY RD
SUITE 104
KENOSHA, WI
ZIP 53144
Phone: (262) 657-0504
Get Directions

DR. Mario Benjamin Maritato, D.D.S. is a general practice dentist in Kenosha, WI. The provider is 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. DR. Mario Benjamin Maritato, D.D.S. NPI is 1649331695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5008 GREEN BAY RD
SUITE 104
KENOSHA, WI
ZIP 53144-790
Phone: (262) 657-0504
Fax: (262) 657-0515

The enumeration date for this NPI number is 12/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	3710	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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