Provider Demographics
NPI:1306825369
Name:VIOLI, DARRIN JAMES (DMD)
Entity type:Individual
Prefix:DR
First Name:DARRIN
Middle Name:JAMES
Last Name:VIOLI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 ALPINE DR
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-8881
Mailing Address - Country:US
Mailing Address - Phone:502-633-4828
Mailing Address - Fax:
Practice Address - Street 1:207 ALPINE DR
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-8881
Practice Address - Country:US
Practice Address - Phone:502-633-4828
Practice Address - Fax:502-633-7818
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY67941223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1729002Medicare ID - Type Unspecified
KYH32355Medicare UPIN