Active NPIIndividual provider

Andreina G Acconciagioco, DMD

Dentist, General Practice in Tyler, Texas

NPI Number1376306027
Practice location
2830 W Grande Blvd Apt 14306, Tyler, TX 75703-3595
Fax
—
Last updated
October 24, 2024

Andreina G Acconciagioco, DMD is a Dentist, General Practice based in Tyler, TX. Andreina G Acconciagioco, DMD holds the professional credentials of DMD. The NPI number for Andreina G Acconciagioco, DMD is 1376306027 and holds license No. 41057 (TX). The current practice location address is 2830 W Grande Blvd Apt 14306, Tyler, TX 75703-3595 and the office can be reached by phone at 346-320-8547. The NPI was assigned on February 5, 2024 and the record was last updated in NPPES on October 24, 2024.

●Provider Profile Details

NPI Number
1376306027
Provider Name
Andreina Gabriela Acconciagioco
Credential
DMD
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Enumeration Date
February 5, 2024
Last Update Date
October 24, 2024
Certification Date
October 24, 2024
NPI Status
Active

◉Business Practice Location Address

Address
2830 W Grande Blvd Apt 14306
Tyler, TX 75703-3595
City
Tyler
State
Texas
ZIP
75703-3595
Country
US
Phone Number
346-320-8547

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✉Business Mailing Address

Address
635 Albany St
Boston, MA 02118-3550
City
Boston
State
MA
ZIP
02118-3550
Phone Number
617-358-8300

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dentist, General Practice1223G0001XYes41057TX
Student in an Organized Health Care Education/Training Program390200000XNo——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Andreina G Acconciagioco, DMD?

The NPI number of Andreina G Acconciagioco, DMD is 1376306027. It was assigned on February 5, 2024 and is currently active in the NPPES registry.

What is the specialty of Andreina G Acconciagioco, DMD?

Andreina G Acconciagioco, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X) and holds license No. 41057 (TX).

Where does Andreina G Acconciagioco, DMD practice?

The practice location is 2830 W Grande Blvd Apt 14306, Tyler, TX 75703-3595. The office can be reached at 346-320-8547 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376306027 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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