Provider Demographics
NPI:1619572179
Name:DNT ASSOCIATES INC
Entity Type:Organization
Organization Name:DNT ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL
Authorized Official - Prefix:
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-383-2426
Mailing Address - Street 1:710 W HISTORIC MITCHELL ST OFC
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-3559
Mailing Address - Country:US
Mailing Address - Phone:414-383-2426
Mailing Address - Fax:877-335-3684
Practice Address - Street 1:2301 S 108TH ST
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-1933
Practice Address - Country:US
Practice Address - Phone:414-988-9885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty