Michael Joseph Toninato, DDS

Individual provider Active NPI Dentist · Prescott, WI

NPI 1144320193 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1144320193
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
3523 (WI)
Practice address
1015 Campbell St N
Prescott, WI 54021-1157
Phone
(715) 262-3382
Fax
(715) 262-3063
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3523WIMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Family Dental Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3523 WI Yes

Addresses

Primary practice location

1015 Campbell St N
Prescott, WI 54021-1157

Mailing address

1015 Campbell St N
Prescott, WI 54021-1157
Phone (715) 262-3382

Other providers in Prescott, WI

All providers in Prescott, WI · Dentist in Wisconsin

Sources for this page

Verify at the official NPI Registry.