# VINCENT COLOSIMO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639133978
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4547T | NV | Yes |

## Other

- **Enumeration date:** 04/13/2006
- **Last updated:** 06/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001264970 | — | PA |
| 01 | — | 100507579 | HENDERSON OFFICE MEDICAID\# | NV |
| 01 | — | 100510914 | RENO OFFICE MEDICAID\# | NV |
| 01 | — | 100511621 | CARSON CITY OFFICE MEDICAID\# | NV |
| 01 | — | 100511622 | SPARKS OFFICE MEDICAID\# | NV |
| 01 | — | 100511623 | TROPICAL PKWY OFFICE MEDICAID\# | NV |
| 01 | — | 100511624 | SMOKE RANCH RD OFFICE MEDICAID\# | NV |
| 01 | — | 100511625 | NELLIS BLVD OFFICE MEDICAID\# | NV |