Dr. Dellagatta & Associates (southern Park), Inc.

NPI #1235109604 in Boardman, Ohio

Provider Information

NPI Number: 1235109604
Entity Type: Organization
Organization Name: Dr. Dellagatta & Associates (southern Park), Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: DENTALONE PARTNERS, INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 26, 2006
Last Updated: Sep 22, 2022

Practice Location

Address: 930 BOARDMAN-POLAND ROAD
City: Boardman
State: Ohio
ZIP Code: 44512
Phone: (330) 629-8884

Authorized Official

Name: LAUREN HILL
Title: RCM, DIRECTOR
Phone: (972) 930-7707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Prosthodontics — Prosthodontics	1223P0700X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - General Practice — General Practice	1223G0001X	Primary

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