Individual
JOHN F. GELETKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5121 MAHONING AVE, YOUNGSTOWN, OH 44515-1847
(330) 792-1485
(330) 792-0398
Mailing address
5121 MAHONING AVE, YOUNGSTOWN, OH 44515-1847
(330) 792-1485
(330) 792-0398
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-012676
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164460606
TYPE LL NPI #
OH
Enumeration date
10/16/2006
Last updated
07/08/2007
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