Dr Jean C Gross Deangelo, DMD is a
Dentist - Periodontics based in Venetia, Pennsylvania. Dr Jean C Gross Deangelo is licensed to practice in Pennsylvania (license number DS027422L) and her current practice location is
203 Sienna Trl, Venetia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(724) 942-9809.
NPI number for Dr Jean C Gross Deangelo is 1710033360 and her current mailing address is 203 Sienna Trl, Venetia, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710033360.
Healthcare Provider's Profile
Full Name | Dr Jean C Gross Deangelo |
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Gender | Female |
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Speciality | Dentist - Periodontics |
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Location | 203 Sienna Trl, Venetia, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710033360
- Provider Enumeration Date: 01/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jean C Gross Deangelo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710033360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0300X | Dentist - Periodontics | DS027422L (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jean C Gross Deangelo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jean C Gross Deangelo, DMD 203 Sienna Trl, Venetia, PA 15367-1317 Ph: (724) 942-9809 | Dr Jean C Gross Deangelo, DMD 203 Sienna Trl, Venetia, PA 15367-1317 Ph: (724) 942-9809 |
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