Provider Demographics
NPI:1619328424
Name:ARTINO, VINCENZO (DDS)
Entity Type:Individual
Prefix:DR
First Name:VINCENZO
Middle Name:
Last Name:ARTINO
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 1:2126 S GOLDEN CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80227-3607
Mailing Address - Country:US
Mailing Address - Phone:720-219-4922
Mailing Address - Fax:303-363-1272
Practice Address - Street 1:7575 W 20TH AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214
Practice Address - Country:US
Practice Address - Phone:303-238-2800
Practice Address - Fax:303-238-8944
Is Sole Proprietor?:No
Enumeration Date:2016-06-23
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002028891223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice