Provider Demographics
NPI:1346493558
Name:PATIERNO, JOHN M (DMD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:PATIERNO
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 1:7760 WEST VOA PARK DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-3371
Mailing Address - Country:US
Mailing Address - Phone:513-759-2700
Mailing Address - Fax:513-759-2709
Practice Address - Street 1:7760 WEST VOA PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-3371
Practice Address - Country:US
Practice Address - Phone:513-759-2700
Practice Address - Fax:513-759-2709
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH192371223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics