Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DEMETRIOS LOUIS CONSOLO
Active Sole ProprietorMR. DEMETRIOS LOUIS CONSOLO is a Dental Assistant healthcare provider located in CANANDAIGUA, New York. NPI 1780874016 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · CANANDAIGUA, NY
Registration Details
- NPI Number
- 1780874016
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2007 (18.851608412184 yrs)
- Last Updated
- Aug 1, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 FORT HILL AVEDENTAL DEPTCANANDAIGUA, NY, 144241159Browse NY providers · Browse ZIP 14424
- Phone
- 5853937172
- Primary Specialty
-
Dental Assistant
126800000X
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.