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General NPI Number Information
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NPI Number | 1285529925
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Entity Type | Organization
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Legal Business Name | DENTINO DENTAL SPECIALISTS
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 18550 W CAPITOL DR
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City | BROOKFIELD
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State | WI
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Zip | 53045-1925
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Country | US
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Telephone | 262-577-0277
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Fax | 262-577-0276
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Provider Business Mailing Address
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Address Line | W156N5382 BETTE DR
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-0634
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. FRANCIS CASEY DENTINO
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Credential | DDS
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Telephone | 262-825-6541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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