Jean C. Gross Deangelo in Venetia - Periodontics
Jean C. Gross Deangelo - NPI 1710033360
Jean C. Gross Deangelo is a Periodontics in Venetia, Pennsylvania. Jean C. Gross Deangelo practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jean C. Gross Deangelo is 1710033360. The last update date is 2007-07-08.
Jean C. Gross Deangelo's current location address is 203 Sienna Trl, Venetia, Pennsylvania. You can contact this provider via phone number 7249429809. The mailing address for Jean C. Gross Deangelo is 203 Sienna Trl, Venetia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean C. Gross Deangelo |
|---|---|
| Address | 203 Sienna Trl, Venetia, Pennsylvania |
| Phone Number | 7249429809 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1710033360 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 203 Sienna Trl |
|---|---|
| City | Venetia |
| State | Pennsylvania (PA) |
| Post Code | 153671317 |
| Phone Number | 7249429809 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DS027422L |
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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 structure |
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What is the Jean C. Gross Deangelo's 1710033360?
The Jean C. Gross Deangelo's NPI (National Provider Identifier) Number is 1710033360. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jean C. Gross Deangelo is located?
The Jean C. Gross Deangelo is situated at the following address: 203 Sienna Trl, Venetia, PA, 153671317.
What is the Jean C. Gross Deangelo's specialty and taxonomy code?
The Jean C. Gross Deangelo's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
When did the Jean C. Gross Deangelo receive its 1710033360?
The Jean C. Gross Deangelo was issued its 1710033360 on 2007-01-26, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jean C. Gross Deangelo most recently updated or revised?
The information pertaining to Jean C. Gross Deangelo, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1215930425
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