MEDICARE: DR. GINO AKIO APARICIO DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D12344	OR

General Provider Information

NPI Number	:	1184557597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GINO AKIO APARICIO DMD

Provider Business Mailing Address
First Line	:	1726 PENNSYLVANIA AVE
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30904-5369
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	590 DEARBORN AVE NE
Second Line	:
City	:	KEIZER
State	:	OR
Zip	:	97303-4552
Country	:	US
Telephone Number	:	503-393-2696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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