# GREGORY P. VANNUCCI D.D.S.,P.C.

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

## Provider details

- **NPI number:** 1790969459
- **Authorized official:** DR. GREGORY PAUL VANNUCCI D.D.S. (PRESIDENT)
- **Authorized official phone:** (641) 682-2350

## Contact information

- **Practice address:** 1116 PENNSYLVANIA AVE, OTTUMWA, IA 52501-2109
- **Practice address phone:** (641) 682-2350
- **Practice address fax:** (641) 683-4616
- **Mailing address:** 1116 PENNSYLVANIA AVE, OTTUMWA, IA 52501-2109
- **Mailing address phone:** (641) 682-2350
- **Mailing address fax:** (641) 683-4616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 07963 | IA | Yes |

## Other

- **Enumeration date:** 12/18/2007
- **Last updated:** 12/18/2007