Provider Demographics
NPI:1801821533
Name:CERRONE, LOUIS VINCENT (DMD)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:VINCENT
Last Name:CERRONE
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 1:1703 E VALLEY PKWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027-2500
Mailing Address - Country:US
Mailing Address - Phone:760-747-3388
Mailing Address - Fax:760-747-3780
Practice Address - Street 1:1703 E VALLEY PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92027-2500
Practice Address - Country:US
Practice Address - Phone:760-747-3388
Practice Address - Fax:760-747-3780
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA266051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice