Provider Demographics
NPI:1275755183
Name:PIERONI, NADINE M (DDS)
Entity Type:Individual
Prefix:DR
First Name:NADINE
Middle Name:M
Last Name:PIERONI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 TRAVIS BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533
Mailing Address - Country:US
Mailing Address - Phone:707-427-2222
Mailing Address - Fax:707-427-0562
Practice Address - Street 1:1325 TRAVIS BOULEVARD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533
Practice Address - Country:US
Practice Address - Phone:707-427-2222
Practice Address - Fax:707-427-0562
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA284791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice