Colantino, Drew Anthony
Colantino, Drew Anthony is an individual health care provider with primary practice located at 997 Clock Tower Dr Ste B , Springfield IL 62704-1399. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Colantino, Drew Anthony can be contacted via phone (217) 546-9600.Contact Information
Primary practice address
997 Clock Tower Dr Ste B
Springfield IL 62704-1399
Phone: (217) 546-9600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 019029230 | Illinois |
Dental Providers / Dentist | 122300000X | 2901600326 | Michigan |
Dental Providers / Pediatric Dentistry | 1223P0221X | 021.002987 | Illinois |
Dental Providers / Pediatric Dentistry | 1223P0221X | 2901600326 | Michigan |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 2901600326 | Michigan |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 021.002996 | Illinois |
Profile Details
NPI number | 1245579499 |
---|---|
LBN Legal business name | Colantino, Drew Anthony |
Credentials | DMD, MS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 7th, 2013 |
Last updated | Feb 5th, 2020 - about 5 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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