Individual
DR. DOMINICK CARMEN ADORNATO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1129 EAST AURORA RD, SUITE 101, MACEDONIA, OH 44056
(330) 468-1188
(330) 468-0464
Mailing address
1129 EAST AURORA RD, SUITE 101, MACEDONIA, OH 44056
(330) 468-1188
(330) 468-0464
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19351
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000138638
ANTHEM
—
05
—
0107646
—
OH
Enumeration date
10/03/2006
Last updated
09/13/2012
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