Individual provider · Type 1 NPI
Samuel John Deangelo, DDS
Periodontics · Cary, NC
NPI number
1740488501
Active
Practice location
1142 Executive Circle, Suite B
Cary, NC 27518
Fax (919) 467-3246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 7596 (NC) |
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.
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About NPI 1740488501
Samuel John Deangelo, DDS's National Provider Identifier is 1740488501, issued on Jul 3, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Cary, NC. The record was last updated on Jun 24, 2025.