Dr Theadora Imbrogno, DDS is a
Dentist based in Fayette City, Pennsylvania. Dr Theadora Imbrogno is licensed to practice in Pennsylvania (license number DS043916) and her current practice location is
113 Williams Rd, Fayette City, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(724) 247-5792.
NPI number for Dr Theadora Imbrogno is 1871202440 and her current mailing address is 113 Williams Rd, Fayette City, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871202440.
Healthcare Provider's Profile
Full Name | Dr Theadora Imbrogno |
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Gender | Female |
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Speciality | Dentist |
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Location | 113 Williams Rd, Fayette City, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871202440
- Provider Enumeration Date: 11/22/2022
- Last Update Date: 11/22/2022
Medical Identifiers
Medical identifiers for Dr Theadora Imbrogno such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871202440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DS043916 (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 Theadora Imbrogno 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 Theadora Imbrogno, DDS 113 Williams Rd, Fayette City, PA 15438-1141 Ph: (724) 247-5792 | Dr Theadora Imbrogno, DDS 113 Williams Rd, Fayette City, PA 15438-1141 Ph: (724) 247-5792 |
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