Provider Demographics
NPI:1033807706
Name:LAINO, PAULO HENRIQUE (DMD)
Entity Type:Individual
Prefix:
First Name:PAULO
Middle Name:HENRIQUE
Last Name:LAINO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6013 NW 47TH PL
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2118
Mailing Address - Country:US
Mailing Address - Phone:561-563-0217
Mailing Address - Fax:
Practice Address - Street 1:6013 NW 47TH PL
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-2118
Practice Address - Country:US
Practice Address - Phone:561-563-0217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20161052597126800000X
FL25361223G0001X
FLDH28742124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No126800000XDental ProvidersDental Assistant
No124Q00000XDental ProvidersDental Hygienist