Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEADORA IMBROGNO, DDS
ActiveDR. THEADORA IMBROGNO, DDS is a Dentist healthcare provider located in FAYETTE CITY, Pennsylvania. NPI 1871202440 is currently active in the NPPES registry. Verify at CMS.
Dentist · FAYETTE CITY, PA
Registration Details
- NPI Number
- 1871202440
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 22, 2022 (3.7598130953904 yrs)
- Last Updated
- Nov 22, 2022
- License
-
DS043916 (PA)
Practice Information
- Address
-
113 WILLIAMS RDFAYETTE CITY, PA, 154381141Browse PA providers · Browse ZIP 15438
- Phone
- 7242475792
- Primary Specialty
-
Dentist
122300000X
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.