Provider Demographics
NPI:1194870162
Name:BINON, PAUL P (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:P
Last Name:BINON
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1158 CIRBY WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4422
Mailing Address - Country:US
Mailing Address - Phone:916-786-6676
Mailing Address - Fax:916-786-6820
Practice Address - Street 1:1158 CIRBY WAY
Practice Address - Street 2:SUITE A
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4422
Practice Address - Country:US
Practice Address - Phone:916-786-6676
Practice Address - Fax:916-786-6820
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA208171223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics