Organization
CHARLES R. VENNERI, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R VENNERI D.M.D. (OWNER)
(724) 437-0937
Entity
Organization
Contact information
Practice address
110 DANIEL DR, SUITE 3, UNIONTOWN, PA 15401-8002
(724) 437-0937
(724) 437-1708
Mailing address
110 DANIEL DR, SUITE 3, UNIONTOWN, PA 15401-8002
(724) 437-0937
(724) 437-1708
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS022954L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009110770003
—
PA
01
—
66726
UNISON
PA
01
—
9199065
UPMC/DORAL
PA
Enumeration date
06/02/2009
Last updated
06/02/2009
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