Provider Demographics
NPI:1497813653
Name:PINERO, HECTOR E (DMD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:E
Last Name:PINERO
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 1:217 N WESTMONTE DR
Mailing Address - Street 2:SUITE #1001
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3338
Mailing Address - Country:US
Mailing Address - Phone:407-774-0001
Mailing Address - Fax:407-774-9894
Practice Address - Street 1:217 N WESTMONTE DR
Practice Address - Street 2:SUITE #1001
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3338
Practice Address - Country:US
Practice Address - Phone:407-774-0001
Practice Address - Fax:407-774-9894
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00126091223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics