Provider Demographics
NPI:1760662035
Name:DOLCE, VINCENT MICHAEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:MICHAEL
Last Name:DOLCE
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 1:9897 LAKE WORTH RD
Mailing Address - Street 2:# 108
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2375
Mailing Address - Country:US
Mailing Address - Phone:561-966-2000
Mailing Address - Fax:561-969-7082
Practice Address - Street 1:9897 LAKE WORTH RD
Practice Address - Street 2:SUITE # 108
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-2375
Practice Address - Country:US
Practice Address - Phone:561-966-2000
Practice Address - Fax:561-969-7082
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN10027122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist