Healthcare Provider Details

I. General information

NPI: 1932594827
Provider Name (Legal Business Name): M PINTER DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2015
Last Update Date: 03/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 PARKVIEW ST
WAUSEON OH
43567-1239
US

IV. Provider business mailing address

555 PARKVIEW ST
WAUSEON OH
43567-1239
US

V. Phone/Fax

Practice location:
  • Phone: 419-335-3018
  • Fax: 419-335-4977
Mailing address:
  • Phone: 419-335-3018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30-023198
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. MICHAEL PINTER
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 419-335-3018