Bianco, Bernardo Fausto

Bianco, Bernardo Fausto is an individual health care provider with primary practice located at 1601 Sw Archer Rd , Gainesville FL 32608-1135. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Bianco, Bernardo Fausto can be contacted via phone (352) 548-6000.

Contact Information

Primary practice address
1601 Sw Archer Rd Gainesville FL 32608-1135
Phone: (352) 548-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DNO13805 Georgia
Dental Providers / Periodontics 1223P0300X DN013805 Georgia
Dental Providers / Periodontics 1223P0300X DN22812 Florida

Profile Details

NPI number 1689825622
LBN Legal business name Bianco, Bernardo Fausto
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2008
Last updated Jun 30th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689825622 NPPES
Florida Other DN22812 DENTAL LICENSE NUMBER

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