Provider Demographics
NPI:1477677409
Name:DIPIETRO, ARNOLD JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:JOSEPH
Last Name:DIPIETRO
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 1:1777 PENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-2130
Mailing Address - Country:US
Mailing Address - Phone:585-671-6355
Mailing Address - Fax:
Practice Address - Street 1:1777 PENFIELD RD
Practice Address - Street 2:
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-2130
Practice Address - Country:US
Practice Address - Phone:585-385-2258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0438611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice