Provider Demographics
NPI:1174655153
Name:DILEO, JR., VINCENT LOUIS (DDS,MAGD)
Entity type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:LOUIS
Last Name:DILEO, JR.
Suffix:
Gender:M
Credentials:DDS,MAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3320 N HULLEN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-3471
Mailing Address - Country:US
Mailing Address - Phone:504-455-4510
Mailing Address - Fax:
Practice Address - Street 1:3320 N HULLEN ST
Practice Address - Street 2:SUITE C
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3471
Practice Address - Country:US
Practice Address - Phone:504-455-4510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA36771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice