Provider Demographics
NPI:1457469710
Name:VINCENT U RAPINI DDS PC
Entity Type:Organization
Organization Name:VINCENT U RAPINI DDS PC
Other - Org Name:OLD ORCHARD DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:ULYSIES
Authorized Official - Last Name:RAPINI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:314-961-2600
Mailing Address - Street 1:7906 BIG BEND BLVD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER GROVES
Mailing Address - State:MO
Mailing Address - Zip Code:63119-2704
Mailing Address - Country:US
Mailing Address - Phone:314-961-2600
Mailing Address - Fax:314-968-2557
Practice Address - Street 1:7906 BIG BEND BLVD
Practice Address - Street 2:
Practice Address - City:WEBSTER GROVES
Practice Address - State:MO
Practice Address - Zip Code:63119-2704
Practice Address - Country:US
Practice Address - Phone:314-961-2600
Practice Address - Fax:314-968-2557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO133461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty