| Gregory P. Vannucci D.d.s.,p.c. | |
|
1116 Pennsylvania Ave Ottumwa IA 52501-2109 | |
| (641) 682-2350 | |
| (641) 683-4616 |
| Full Name | Gregory P. Vannucci D.d.s.,p.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1116 Pennsylvania Ave, Ottumwa, Iowa |
| Authorized Official Name and Position | Gregory Paul Vannucci (PRESIDENT) |
| Authorized Official Contact | 6416822350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory P. Vannucci D.d.s.,p.c. 1116 Pennsylvania Ave Ottumwa IA 52501-2109 Ph: (641) 682-2350 | Gregory P. Vannucci D.d.s.,p.c. 1116 Pennsylvania Ave Ottumwa IA 52501-2109 Ph: (641) 682-2350 |
| NPI Number | 1790969459 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 12/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790969459 | NPI | - | NPPES |
| 1182279 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 07963 (Iowa) | Primary |
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