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DR. MARIO BRADFORD ANTONIONI D.D.S.
NPI 1255894762
Student in an Organized Health Care Education/Training Program in Venice, CA

Active since April 11, 2019
323 LINCOLN BLVD, VENICE, CA 90291(310) 392-4103 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mario Bradford Antonioni D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIO BRADFORD ANTONIONI D.D.S. (NPI 1255894762) is an individual student in an organized health care education/training program in Venice, California and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1255894762
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MARIO BRADFORD ANTONIONICredential: D.D.S.
Location Address323 LINCOLN BLVDVenice, CA 90291-2842
Mailing Address5514 Stadium DrMadison, WI 53705-4642 · (608) 698-3344
Phone(310) 392-4103
Sole ProprietorNo
Enumeration DateApril 11, 2019
✔ NPI 1255894762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
323 LINCOLN BLVD, Venice, CA 90291
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUBANA MASOOD DDS
Dentist (General Practice)
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
GOLARA KHANDAN DMD
Student in an Organized Health Care Education/Training Program
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 827-8959
UCLA VENICE DENTAL CENTER
Clinic/Center (Dental)
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
DR. ALIZA AMSELLEM DDS
Dentist
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
DR. BERNICE TAN KO
Dentist (Endodontics)
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
DR. JOHN MICHAEL YAMAMOTO D.D.S., M.P.H.
Dentist (Dental Public Health)
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
CARLETTA ANNYSE DEMETREE DDS
Dentist
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 392-4103
DR. MACARIO DIZON SOLIMAN II DDS
Dentist
323 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 396-5654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Antonioni's NPI number?

The NPI number for Mario Antonioni is 1255894762. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Mario Antonioni located?

Mario Antonioni practices at 323 Lincoln Blvd, Venice, CA 90291. The listed phone number is (310) 392-4103.

What is Mario Antonioni's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mario Antonioni was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.