Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEAN C. GROSS DEANGELO, D.M.D.
Active Sole ProprietorPeriodontology · VENETIA, PA
Registration Details
- NPI Number
- 1710033360
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2007 (19.275811389169 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DS027422L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
203 SIENNA TRLVENETIA, PA, 153671317Browse PA providers · Browse ZIP 15367
- Phone
- 7249429809
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.