Provider Demographics
NPI:1083716336
Name:SANTONE, DANTE (DC)
Entity Type:Individual
Prefix:DR
First Name:DANTE
Middle Name:
Last Name:SANTONE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 MERRIMACK ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-6562
Mailing Address - Country:US
Mailing Address - Phone:978-794-7677
Mailing Address - Fax:978-794-0177
Practice Address - Street 1:369 MERRIMACK ST
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-6562
Practice Address - Country:US
Practice Address - Phone:978-794-7677
Practice Address - Fax:978-794-0177
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1716111N00000X
MECR879111N00000X
NH096-0492A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0005903114OtherAETNA
MA1699997Medicaid
MAB-209-01-001OtherCIGNA HEALTH PLAN
MA001716OtherTUFTS ASSOC HEALTH PLAN
MA043210678OtherUNITED HEALTH CARE
0504255Y0MA01OtherANTHEM BC/BS
MA6391230001Medicare NSC
MA043210678OtherUNITED HEALTH CARE
MAY36207Medicare UPIN