# CHARLES R. VENNERI, D.M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487880647
- **Authorized official:** CHARLES R VENNERI D.M.D. (OWNER)
- **Authorized official phone:** (724) 437-0937

## Contact information

- **Practice address:** 110 DANIEL DR, SUITE 3, UNIONTOWN, PA 15401-8002
- **Practice address phone:** (724) 437-0937
- **Practice address fax:** (724) 437-1708
- **Mailing address:** 110 DANIEL DR, SUITE 3, UNIONTOWN, PA 15401-8002
- **Mailing address phone:** (724) 437-0937
- **Mailing address fax:** (724) 437-1708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS022954L | PA | Yes |

## Other

- **Enumeration date:** 06/02/2009
- **Last updated:** 06/02/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0009110770003 | — | PA |
| 01 | — | 66726 | UNISON | PA |
| 01 | — | 9199065 | UPMC/DORAL | PA |
