Provider Demographics
NPI:1265543284
Name:CIGNO, ANTONIO G (DMD)
Entity type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:G
Last Name:CIGNO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7940 W LAYTON AVE
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53220-3711
Mailing Address - Country:US
Mailing Address - Phone:414-988-6433
Mailing Address - Fax:414-421-0282
Practice Address - Street 1:7940 W LAYTON AVE
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220-3711
Practice Address - Country:US
Practice Address - Phone:414-988-6433
Practice Address - Fax:414-988-6074
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI43591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI852002OtherUNITED CONCORDIA