Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAURO PEDRINE SANTAMARIA, DDS
ActiveMAURO PEDRINE SANTAMARIA, DDS is a Periodontology healthcare provider located in HAZARD, Kentucky. NPI 1790402113 is currently active in the NPPES registry. Verify at CMS.
Periodontology · HAZARD, KY
Registration Details
- NPI Number
- 1790402113
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2022 (3.8398912721324 yrs)
- Last Updated
- Apr 18, 2025
- Licenses
-
10855 (KY)10855 (KY)10855 (KY)
Practice Information
- Address
-
750 MORTON BLVDHAZARD, KY, 417019469Browse KY providers · Browse ZIP 41701
- Phone
- 6064393557
- Fax
- 6064391422
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- General Dentistry
- Additional Specialty
- Periodontology
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.