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1518016781 NPI number — VINCENZO JOHN CASTALDO III DMD

NPI Number: 1518016781
Health Care Provider/Practitioner: VINCENZO JOHN CASTALDO III DMD

Information about “1518016781” NPI (VINCENZO JOHN CASTALDO III DMD) exists in 1518016781 in HTML format HTML  |  1518016781 in plain Text format TXT  |  1518016781 in PDF (Portable Document Format) PDF  |  1518016781 in an XML format XML  formats.

NPI Number : 1518016781 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518016781",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CASTALDO",
    "FirstName": "VINCENZO",
    "MiddleName": "JOHN",
    "NamePrefix": null,
    "NameSuffix": "III",
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7601 HOSPITAL DR",
    "SecondLineMailingAddress": "104B",
    "MailingAddressCityName": "SACRAMENTO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95823-5408",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-423-4092",
    "MailingAddressFaxNumber": "916-423-3125",
    "FirstLinePracticeLocationAddress": "7601 HOSPITAL DR",
    "SecondLinePracticeLocationAddress": "104B",
    "PracticeLocationAddressCityName": "SACRAMENTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95823-5408",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-423-4092",
    "PracticeLocationAddressFaxNumber": "916-423-3125",
    "EnumerationDate": "01/09/2007",
    "LastUpdateDate": "02/08/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223S0112X",
        "TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
        "LicenseNumber": "21103",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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