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DR. DOMENIC BAGLIVO D.M.D. NPI 1952413569


NPI Information

NPI: 1952413569
Provider Name: DR. DOMENIC BAGLIVO, D.M.D.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
100 E LANCASTER AVE
203 LANKENAU MEDICAL BUILDING
WYNNEWOOD, PA
ZIP 19096
Phone: (610) 642-0259
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DR. Domenic Baglivo, D.M.D. is a general practice dentist in Wynnewood, PA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Domenic Baglivo, D.M.D. NPI is 1952413569. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 E LANCASTER AVE
203 LANKENAU MEDICAL BUILDING
WYNNEWOOD, PA
ZIP 19096-450
Phone: (610) 642-0259
Fax: (610) 896-6405

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDS-025340-LPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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