ALEX M. PENTINO D.D.S. INC. NPI 1790423762

NPI Information

NPI: 1790423762
Provider Name: ALEX M. PENTINO D.D.S., INC.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
48258 NATIONAL RD
SAINT CLAIRSVILLE, OH
ZIP 43950
Phone: (740) 695-5700
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ALEX M. PENTINO D.D.S., INC. is a dental clinic center in Saint Clairsville, OH. ALEX M. PENTINO D.D.S., INC. NPI is 1790423762. The provider is registered as an organization entity type.

The provider's business location address is:

48258 NATIONAL RD
SAINT CLAIRSVILLE, OH
ZIP 43950-705
Phone: (740) 695-5700
Fax: (740) 695-5701

The provider's authorized official is Alex Michael Pentino .
The authorized official title is President and has the following contact phone number (304) 266-3495.

The enumeration date for this NPI number is 5/20/2022 and was last updated on 5/20/2022.

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	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1063675791	OTHER		PROVIDER NPI NUMBER
2	30-022756	OTHER	OHIO	DENTAL LICENSE NUMBER
3	3830	OTHER	WEST VIRGINIA	DENTAL LICENSE NUMBER
4	3001432	MEDICAID	OHIO

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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