Provider Demographics
NPI:1518015262
Name:DINGUS AND RIVOLI ORTHODONTICS
Entity Type:Organization
Organization Name:DINGUS AND RIVOLI ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DINGUS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:585-278-1055
Mailing Address - Street 1:110 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NY
Mailing Address - Zip Code:14513-1456
Mailing Address - Country:US
Mailing Address - Phone:315-331-3726
Mailing Address - Fax:
Practice Address - Street 1:110 HIGH ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NY
Practice Address - Zip Code:14513-1456
Practice Address - Country:US
Practice Address - Phone:315-331-3726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0420741223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty