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DR. ANDREW DENTINO DDS, PHD
NPI 1871693747
Dentist - Periodontics in West Allis, WI

Active since September 22, 2006Opted out of Medicare · through Mar 30, 2028
555 S 108TH ST, WEST ALLIS, WI 53214(414) 566-6400(414) 566-3900 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Andrew Dentino Dds, Phd NPPES

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

DR. ANDREW DENTINO DDS, PHD (NPI 1871693747) is an individual periodontics provider in West Allis, Wisconsin, licensed in Wisconsin (4463-015) and active in the NPI registry since September 2006. He has opted out of Medicare through March 30, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1871693747
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. ANDREW DENTINOCredential: DDS, PHD
Location Address555 S 108TH STWest Allis, WI 53214-1100
Mailing Address555 S 108th StWest Allis, WI 53214-1100 · (414) 566-6400 · Fax (414) 566-3900
Phone(414) 566-6400
Fax(414) 566-3900
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871693747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in WI · 4463-015
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

555 S 108TH ST, West Allis, WI 53214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Andrew Dentino Dds, Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 30, 2016 through March 30, 2028.

Opt-Out Effective DateMarch 30, 2016
Opt-Out In Effect ThroughMarch 30, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. WILLIAM J. LISTWAN MD
Internal Medicine
555 S 108TH ST, QUAD-MED
WEST ALLIS, WI 53214
Milwaukee County (414) 566-8210
DR. JULIE K BARON DDS
Dentist (General Practice)
555 S 108TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 566-6400
DR. AIRIGA J TUCKER-MIMS DDS
Dentist (General Practice)
555 S 108TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 566-6400
DR. KRISTEN K PAULSON DDS
Dentist (General Practice)
555 S 108TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 566-6400
DR. NIKHIL R BHATT DDS
Dentist (General Practice)
555 S 108TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 566-6400
DR. MICHAEL S BARTELT DDS
Dentist (General Practice)
555 S 108TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 566-6400
DR. BRUCE P HAMILTON DDS
Dentist (General Practice)
555 S 108TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 566-6400
SHIRLEY GRESSEAU MD
Obstetrics & Gynecology
555 S 108TH ST
WEST ALLIS, WI 53214
Milwaukee County (414) 566-6400

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 Andrew Dentino's NPI number?

The NPI number for Andrew Dentino is 1871693747. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Andrew Dentino located?

Andrew Dentino practices at 555 S 108th St, West Allis, WI 53214. The listed phone number is (414) 566-6400.

What is Andrew Dentino's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Andrew Dentino enrolled in Medicare?

No. Andrew Dentino has opted out of Medicare through March 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Andrew Dentino accept?

Health plans from Delta Dental of Wisconsin, Inc. list Andrew Dentino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Dentino was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.