Provider Demographics
NPI:1417742446
Name:PANICO, TRINETTE (RDH)
Entity type:Individual
Prefix:
First Name:TRINETTE
Middle Name:
Last Name:PANICO
Suffix:
Gender:
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2639 CARMEL DR
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-9332
Mailing Address - Country:US
Mailing Address - Phone:614-404-3145
Mailing Address - Fax:
Practice Address - Street 1:6790 PERIMETER DR STE 100
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8050
Practice Address - Country:US
Practice Address - Phone:614-717-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH31.015683124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist