Organization · Type 2 NPI

Domenic Baglivo JR D.m.d., P.c

General Practice Dentistry · Wynnewood, PA

NPI number 1033424155 Active

Practice location

100 E Lancaster Ave. Suite 203W, Lankenau Medical Building South
Wynnewood, PA 19096

Fax (610) 896-6405

Mailing address

100 East Lancaster Avenue, Lankenau Medical Bldg - Suite 203W
Wynnewood, PA 19096

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDS-025340-L (PA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1033424155

Domenic Baglivo JR D.m.d., P.c's National Provider Identifier is 1033424155, issued on Aug 12, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Wynnewood, PA. The record was last updated on Aug 12, 2010.