Provider Demographics
NPI:1639725641
Name:CONTINO, ALFREDO (DDS)
Entity Type:Individual
Prefix:
First Name:ALFREDO
Middle Name:
Last Name:CONTINO
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 1:14285 SW 62ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-1900
Mailing Address - Country:US
Mailing Address - Phone:305-490-5648
Mailing Address - Fax:
Practice Address - Street 1:1804 WASHINGTON BLVD STE C
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-3501
Practice Address - Country:US
Practice Address - Phone:740-780-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0273281223G0001X
FLDN265131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice