Individual provider · Type 1 NPI
Jean C. Gross Deangelo, DMD
Periodontics · Venetia, PA
NPI number
1710033360
Active
Practice location
203 Sienna Trl
Venetia, PA 15367-1317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DS027422L (PA) |
Periodontics: 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 structures and tissues.
About NPI 1710033360
Jean C. Gross Deangelo, DMD's National Provider Identifier is 1710033360, issued on Jan 26, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Venetia, PA. The record was last updated on Jul 8, 2007.