Anthony Frank Vinciguerra, DDS
Individual provider Active NPI Pediatric Dentistry · Nehalem, OR
NPI 1982168506 · NPPES record last updated Jan 28, 2019
Key facts
- NPI
- 1982168506
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- DEN11518 (MA)
- Practice address
- 37315 Second St
Nehalem, OR 97131-9679 - Phone
- (508) 878-3537
- NPI assigned
- Jan 28, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| DEN11518 | MA | MD | Pediatric Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DEN11518 | MA | Yes |
Addresses
Primary practice location
37315 Second St
Nehalem, OR 97131-9679
Mailing address
37315 Second St
Nehalem, OR 97131-9679
Phone (508) 878-3537
Other providers in Nehalem, OR
- Nehalem Bay Fire & Rescue District
- Chrystal Nelthropp
- Northwest Medical Foundation of Tillamook
- Nourish Natural Family Medicine
- Sirona LLC
- Birgitta Von Schlumperger
All providers in Nehalem, OR · Pediatric Dentistry in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2019. 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.