Gloria E. Patino, D.M.D.
Individual provider Active NPI General Practice Dentistry · Wharton, NJ
NPI 1265655286 · NPPES record last updated Dec 2, 2011
Key facts
- NPI
- 1265655286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D102155300 (NJ)
- Practice address
- 400 S. Main St.
1St Floor
Wharton, NJ 07885-2043 - Phone
- (862) 397-4282
- Fax
- (862) 397-4285
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02155300 | NJ | MD | General Practice Dentistry |
| D102155300 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Attentive Dentist, LLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02155300 | NJ | |
| General Practice Dentistry | 1223G0001X | D102155300 | NJ | Yes |
Addresses
Primary practice location
400 S. Main St.
1St Floor
Wharton, NJ 07885-2043
Mailing address
400 S. Main St.
1St Floor
Warton, NJ 07885-2043
Phone (862) 397-4282
Other providers in Wharton, NJ
- Kathleen M Owen
- Ferdinando C Palumbo
- Dharmesh P Parikh
- Ashwin Patel
- Pinakin Pathak
- Pillar Care Continuum
- Bradie Sarah Polllard
- Prasada Center for Wellbeing
- Prasada Center for Wellbeing
- Pratik Inc
All providers in Wharton, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.