Individual
DR. JONATHAN MICHAEL TAGLIARENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2769
(570) 271-6355
(570) 271-5788
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6355
(570) 271-5788
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS045057
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX9479
—
SC
Enumeration date
01/28/2011
Last updated
07/22/2025
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