NPI 1104866359 · live from the CMS NPI Registry
Daniel M Deangelo, D.D.S. M.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Boardman, OH. National Provider Identifier 1104866359, active.
NPI record
| NPI | 1104866359 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 827 Mckay Ct, Suite 1, Boardman, OH 44512 |
| Practice phone | 330-758-1188 |
| Mailing address | 827 Mckay Court, Suite 1, Boardman, OH 44512 |
| Enumerated | June 7, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 30 01 8325 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.