# PAUL E BACINO DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144431776
- **Authorized official:** DR. PAUL E BACINO DDS PC (PRESIDENT)
- **Authorized official phone:** (402) 238-2434

## Contact information

- **Practice address:** 132 S STARK ST, BENNINGTON, NE 68007
- **Practice address phone:** (402) 238-2434
- **Practice address fax:** (402) 238-3230
- **Mailing address:** PO BOX 166, BENNINGTON, NE 68007-0166
- **Mailing address phone:** (402) 238-2434
- **Mailing address fax:** (402) 238-3230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4986 | NE | Yes |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 11/20/2012