# JASON A PELLEGRINO DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pellegrino Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134912108
- **Authorized official:** JENNY GARCIA (SR. CREDENTIALING TEAM LEAD)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 5920 HAMILTON BLVD STE 101, ALLENTOWN, PA 18106-8942
- **Practice address phone:** (610) 530-7901
- **Practice address fax:** (610) 530-7905
- **Mailing address:** 5920 HAMILTON BLVD STE 101, ALLENTOWN, PA 18106-8942
- **Mailing address phone:** (610) 530-7901
- **Mailing address fax:** (610) 530-7905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2025
- **Last updated:** 05/23/2025