Individual provider · Type 1 NPI

Ivan A. Martino, DDS

Dentist · Pleasant Prairie, WI

NPI number 1487046991 Active

Practice location

10347 77th St, Suite 630
Pleasant Prairie, WI 53158-1137

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019030078 (IL)
Dentist Primary 122300000X1001205 (WI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1487046991

Ivan A. Martino, DDS's National Provider Identifier is 1487046991, issued on Feb 21, 2015. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Pleasant Prairie, WI. The record was last updated on Apr 12, 2017.