DR. DELLAGATTA & ASSOCIATES (SOUTHERN PARK), INC.


Address: 930 Boardman-poland Road, Boardman, OH 44512
Phone: 3306298884

DR. DELLAGATTA & ASSOCIATES (SOUTHERN PARK), INC. (NPI# 1235109604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235109604
Entity Type Organization
Organization Name DR. DELLAGATTA & ASSOCIATES (SOUTHERN PARK), INC.
Other Organization Name DENTALWORKS
Practice Address 930 Boardman-poland Road
Boardman
OH 44512
Mailing Address Po Box 860036
Minneapolis
MN 55486-0036
Practice Telephone 3306298884
Practice Fax Number 2165841070
Mailing Telephone 3306298884
Mailing Fax Number 2165841070
Enumeration Date 2006-01-26
Last Update Date 2015-12-14
Authorized Official Name DR. PASQUALE DELLAGATTA (DENTIST/OWNER)
Authorized Official Telephone 3306298884
Authorized Official Credential DDS
Is Organization Subpart Y
Parent Organization Name DENTALONE PARTNERS, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist Dental Providers
N 1223E0200X Dentist
Specialization: Endodontics
Dental Providers
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers
N 1223P0300X Dentist
Specialization: Periodontics
Dental Providers
N 1223P0700X Dentist
Specialization: Prosthodontics
Dental Providers
N 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
DentalWorks Doing Business As Name - Organization

Office Location

Street Address 930 BOARDMAN-POLAND ROAD
City BOARDMAN
State OH
Zip Code 44512

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285248740 Kimberly Vrabel Counselor 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 2020-09-02
1043830144 Steffi Lorraine D'souza Student in an Organized Health Care Education/Training Program 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 2020-04-20
1427677830 Shivani Sharma Family Medicine 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 2020-04-15
1417587825 Ronny Zetts Pharmacist 308 Boardman-canfield Rd, Boardman, OH 44512 2020-01-24
1285105080 Andrew Dawson Nurse Practitioner 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 2018-12-06
1700374949 Adam Leid Student in an Organized Health Care Education/Training Program St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 2018-04-24
1528574910 Herman Frank IIi Licensed Practical Nurse 920 Boardman Canfield Road, Boardman, OH 44512 2017-12-20
1730601980 Stephanie Ann Mathews Nurse Practitioner 7600 Southern Blvd #1, Boardman, OH 44512 2017-07-10
1417485079 Telka Ghobadi Family Medicine 8423 Market St., Suite 101, Boardman, OH 44512 2017-05-26
1356797534 Haroon Hussain Syed Student in an Organized Health Care Education/Training Program 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 2016-05-06
Find all providers in zip 44512

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780283556 Ziyad Amir Kadir Dentist 300 Tatone St, Boardman, OR 97818-7900 2020-10-22
1083941314 Melissa Mullane Padgett, Dds, LLC Dentist 1006 Boardman Canfield Rd, Suite 1a, Boardman, OH 44512-4278 2009-11-06
1861605677 Michael H Leone Dentist 825 Kentwood Drive, Boardman, OH 44512 2007-05-08
1548485865 Hayden Family Dentistry Group Dentist 300 Tatone, Boardman, OR 97818 2007-04-13
1154462695 Robert D Perrott Dentist 7200 Bristlewood Dr, Boardman, OH 44512-5111 2007-02-09
1730254129 Raymond Feudo Dentist 930 Boardman Portland Road Route 224, Boardman, OH 44512 2006-11-21
1508940446 Melissa Padgett Dentist 1006 Boardman-canfield Rd., Suite 1-a, Boardman, OH 44512 2006-10-25
1225001241 James M Gentile Dentist 6540 South Ave, Suite B, Boardman, OH 44512-3651 2006-02-09
1982685855 Joseph A Mika Dentist 5815 Market St Ste 6, Boardman, OH 44512-2915 2005-11-08
1831741958 Advantage Dental Group, PC Dentist 300 Tatone, Boardman, OR 97818 2019-07-09
Find all providers in BOARDMAN

Competitor

Search similar providers

City BOARDMAN
Zip Code 44512

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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