Provider Demographics
NPI:1669033445
Name:QUINTO, BRETT (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:
Last Name:QUINTO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 STRATFORD DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-2201
Mailing Address - Country:US
Mailing Address - Phone:630-893-5182
Mailing Address - Fax:
Practice Address - Street 1:76 STRATFORD DR
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2201
Practice Address - Country:US
Practice Address - Phone:630-893-5182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.032077122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist