Provider Demographics
NPI:1285763151
Name:SAVINO, PAUL ARTHUR (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ARTHUR
Last Name:SAVINO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 E YAVAPAI ST
Mailing Address - Street 2:SUITE #3
Mailing Address - City:WICKENBURG
Mailing Address - State:AZ
Mailing Address - Zip Code:85390-3429
Mailing Address - Country:US
Mailing Address - Phone:928-684-0600
Mailing Address - Fax:928-684-0159
Practice Address - Street 1:130 E YAVAPAI ST
Practice Address - Street 2:SUITE #3
Practice Address - City:WICKENBURG
Practice Address - State:AZ
Practice Address - Zip Code:85390-3429
Practice Address - Country:US
Practice Address - Phone:928-684-0600
Practice Address - Fax:928-684-0159
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ53601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice