Samuel J. Deangelo in Cary - Dental

Samuel J. Deangelo - NPI 1700043148

Samuel J. Deangelo is a Dental in Cary, North Carolina. Samuel J. Deangelo practices all healthcare services and medical treatments related to Dental. The NPI Number for Samuel J. Deangelo is 1700043148. The last update date is 2008-05-22.

Samuel J. Deangelo's current location address is 1142 Executive Cir, Cary, North Carolina. You can contact this provider via phone number 9194673213 and fax number 9194673246. The mailing address for Samuel J. Deangelo is 1142 Executive Cir, Cary, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Samuel J. Deangelo
Address 1142 Executive Cir, Cary, North Carolina
Phone Number 9194673213
Fax Number 9194673246
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PERIODONTI
Authorized Official Name Deangelo John Samuel
Credentials DDS
Telephone Number 9194673213

NPI Number Detail

NPI Number 1700043148
Provider Enumeration Date 2008-05-22
Last Updated Date 2008-05-22

Provider Mailing Address Detail

Address 1142 Executive Cir
City Cary
State North Carolina (NC)
Post Code 275114570
Phone Number 9194673213
Fax Number 9194673246

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 7596
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about Samuel J. Deangelo

What is the unique identification code assigned to Samuel J. Deangelo by the Centers for Medicare & Medicaid Services?

The Samuel J. Deangelo has been issued the NPI (National Provider Identifier) 1700043148. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Samuel J. Deangelo's facilities are situated?

The facilities of Samuel J. Deangelo are physically located at the following address: 1142 Executive Cir, Cary, NC, 275114570.

What is Samuel J. Deangelo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Samuel J. Deangelo is Dental, and the corresponding taxonomy classification code for this specialized field is 261Qd0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1700043148 to Samuel J. Deangelo?

The Centers for Medicare & Medicaid Services originally issued the 1700043148 to Samuel J. Deangelo on 2008-05-22.

As of what date was the information pertaining to Samuel J. Deangelo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Samuel J. Deangelo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-22.

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