Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TODD EDWARD PIENKOS, DDS
ActiveDR. TODD EDWARD PIENKOS, DDS is a Pediatric Dentistry healthcare provider located in STURTEVANT, Wisconsin. NPI 1275507659 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · STURTEVANT, WI
Registration Details
- NPI Number
- 1275507659
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2006 (20.506568515439 yrs)
- Last Updated
- May 10, 2017
- Licenses
-
019-024882 (IL)019-024882 (IL)6396-15 (WI)
Practice Information
- Address
-
10155 WASHINGTON AVESTURTEVANT, WI, 531771645Browse WI providers · Browse ZIP 53177
- Phone
- 2628843011
- Fax
- 2626647799
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Pediatric Dentistry
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.