Provider Demographics
NPI:1780790774
Name:CINTO, DAVID ALLEN (DDS)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ALLEN
Last Name:CINTO
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 1:21 RIVERWOOD CT
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-9573
Mailing Address - Country:US
Mailing Address - Phone:630-554-9418
Mailing Address - Fax:630-554-6185
Practice Address - Street 1:60 S MAIN ST # C
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8594
Practice Address - Country:US
Practice Address - Phone:630-554-1855
Practice Address - Fax:630-554-6185
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice