Provider Demographics
NPI:1881792893
Name:ADORNETTO, ROBERT MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MICHAEL
Last Name:ADORNETTO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8865 BRECKSVILLE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-1931
Mailing Address - Country:US
Mailing Address - Phone:440-526-3388
Mailing Address - Fax:440-526-3418
Practice Address - Street 1:8865 BRECKSVILLE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-1931
Practice Address - Country:US
Practice Address - Phone:440-526-3388
Practice Address - Fax:440-526-3418
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH167171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice