Ronald Richard Manglaviti in Lake Winola - Dentist

Ronald Richard Manglaviti - NPI 1760513360

Ronald Richard Manglaviti is a Dentist in Lake Winola, Pennsylvania. Ronald Richard Manglaviti practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ronald Richard Manglaviti is 1760513360. The last update date is 2007-07-08.

Ronald Richard Manglaviti's current location address is Po Box 335, Lake Winola, Pennsylvania. You can contact this provider via phone number 5703783305 and fax number 5703783430. The mailing address for Ronald Richard Manglaviti is Po Box 335, Lake Winola, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronald Richard Manglaviti
Address Po Box 335, Lake Winola, Pennsylvania
Phone Number 5703783305
Fax Number 5703783430
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1760513360
Provider Enumeration Date 2007-03-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 335
City Lake Winola
State Pennsylvania (PA)
Post Code 186250335
Phone Number 5703783305
Fax Number 5703783430

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DS030229L
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
980879 PA UNITED CONCORDIA

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FAQs about Ronald Richard Manglaviti

What is the Ronald Richard Manglaviti's 1760513360?

The Ronald Richard Manglaviti's NPI (National Provider Identifier) Number is 1760513360. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Ronald Richard Manglaviti's facilities are situated?

The facilities of Ronald Richard Manglaviti are physically located at the following address: Po Box 335, Lake Winola, PA, 186250335.

What is Ronald Richard Manglaviti's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ronald Richard Manglaviti's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

When did Ronald Richard Manglaviti receive its 1760513360 assignment?

The Ronald Richard Manglaviti was assigned its 1760513360 on 2007-03-08, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Ronald Richard Manglaviti most recently updated or revised?

The information pertaining to Ronald Richard Manglaviti, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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