Provider Demographics
NPI:1356454847
Name:DESPAIGNE, ALBERTO QUINTIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:QUINTIN
Last Name:DESPAIGNE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 E OAKLAND PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-2761
Mailing Address - Country:US
Mailing Address - Phone:954-262-7530
Mailing Address - Fax:954-568-7749
Practice Address - Street 1:830 E OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-2761
Practice Address - Country:US
Practice Address - Phone:954-262-7530
Practice Address - Fax:954-568-7749
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL114391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice