Provider Demographics
NPI:1497889216
Name:CAIRA, LUIGI A (DDS)
Entity Type:Individual
Prefix:
First Name:LUIGI
Middle Name:A
Last Name:CAIRA
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 1:4320 60TH ST
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53144-2577
Mailing Address - Country:US
Mailing Address - Phone:262-652-9898
Mailing Address - Fax:262-564-8730
Practice Address - Street 1:4320 60TH ST
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53144-2577
Practice Address - Country:US
Practice Address - Phone:262-652-9898
Practice Address - Fax:262-564-8730
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI54111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice