Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAUL EDWARD BACINO, DDS
DeactivatedDR. PAUL EDWARD BACINO, DDS is a Dentist healthcare provider located in BENNINGTON, Nebraska. NPI 1023170628 is deactivated in the NPPES registry. Verify at CMS.
Dentist · BENNINGTON, NE
This NPI has been deactivated.
The record was deactivated on August 10, 2012.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1023170628
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2006 (5.655737704918 yrs)
- Last Updated
- Mar 13, 2013
- Deactivated
- Aug 10, 2012
- License
-
4986 (NE)
Practice Information
- Address
-
132 SOUTH STARK STBENNINGTON, NE, 680070166Browse NE providers · Browse ZIP 68007
- Phone
- 4022382434
- Fax
- 4022383230
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.