Provider Demographics
NPI:1891709036
Name:ARRIGO, VINCENT R (DDS)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:R
Last Name:ARRIGO
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 1:3223 S HALSTED ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-6605
Mailing Address - Country:US
Mailing Address - Phone:312-842-1018
Mailing Address - Fax:312-842-1705
Practice Address - Street 1:3223 S HALSTED ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-6605
Practice Address - Country:US
Practice Address - Phone:312-842-1018
Practice Address - Fax:312-842-1705
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice