Organization
VINCENT F. FIORENTINO, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT F FIORENTINO D.D.S. (PRESIDENT)
(301) 786-7340
Entity
Organization
Contact information
Practice address
21907 WESTERNPORT RD SW STE 2, WESTERNPORT, MD 21562-2234
(301) 786-7340
Mailing address
21907 WESTERNPORT RD SW STE 2, WESTERNPORT, MD 21562-2234
(301) 786-7340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11300
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120491
MAMSI
—
01
—
325021
ANTHEM BC/BS
—
01
—
6502
BC/BS
—
01
—
772611
UNITED CONCORDIA
—
Enumeration date
08/13/2007
Last updated
08/13/2007
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