Provider Demographics
NPI:1528122058
Name:RINALDI, DENNIS R (DMD PA)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:R
Last Name:RINALDI
Suffix:
Gender:M
Credentials:DMD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 NE JENSEN BEACH BLVD
Mailing Address - Street 2:BOULEVARD PROFESSIONAL CTR
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-4752
Mailing Address - Country:US
Mailing Address - Phone:772-334-4090
Mailing Address - Fax:772-334-4835
Practice Address - Street 1:710 NE JENSEN BEACH BLVD
Practice Address - Street 2:BOULEVARD PROFESSIONAL CTR
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-4752
Practice Address - Country:US
Practice Address - Phone:772-334-4090
Practice Address - Fax:772-334-4835
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice