Provider Demographics
NPI:1710721642
Name:PINTO, NATALIA A (DMD)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:A
Last Name:PINTO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2335 N LINCOLN AVE APT 904
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-4583
Mailing Address - Country:US
Mailing Address - Phone:630-991-8091
Mailing Address - Fax:
Practice Address - Street 1:2767 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-1320
Practice Address - Country:US
Practice Address - Phone:312-809-9799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0351561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice