Provider Demographics
NPI:1538318043
Name:PRESTIPINO, VINCENT J (DDS)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:J
Last Name:PRESTIPINO
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 1:7830 OLD GEORGETOWN RD STE 260
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2466
Mailing Address - Country:US
Mailing Address - Phone:301-652-2300
Mailing Address - Fax:301-907-9236
Practice Address - Street 1:7830 OLD GEORGETOWN RD STE 260
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2466
Practice Address - Country:US
Practice Address - Phone:301-652-2300
Practice Address - Fax:301-907-9236
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD069651223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics