Imbrogno, Theadora
Imbrogno, Theadora is an individual health care provider with primary practice located at 113 Williams Rd , Fayette City PA 15438-1141. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Imbrogno, Theadora can be contacted via phone (724) 247-5792.Contact Information
Primary practice address
113 Williams Rd
Fayette City PA 15438-1141
Phone: (724) 247-5792
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS043916 | Pennsylvania |
Profile Details
| NPI number | 1871202440 |
|---|---|
| LBN Legal business name | Imbrogno, Theadora |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2022 |
| Last updated | Nov 22nd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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