Provider Demographics
NPI:1699771063
Name:CARDINALE, VINCENT PETER (DDS)
Entity type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:PETER
Last Name:CARDINALE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:VINCENT
Other - Middle Name:PETER
Other - Last Name:CARDINALE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:6004 FAIRWAY CT
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-7318
Mailing Address - Country:US
Mailing Address - Phone:239-450-7404
Mailing Address - Fax:239-254-9520
Practice Address - Street 1:1019 CROSSPOINTE DR
Practice Address - Street 2:SUITE 2
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-0950
Practice Address - Country:US
Practice Address - Phone:239-596-9868
Practice Address - Fax:239-597-9782
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-21
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLD142701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice