Organization
GREGORY P. VANNUCCI D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY PAUL VANNUCCI D.D.S. (PRESIDENT)
(641) 682-2350
Entity
Organization
Contact information
Practice address
1116 PENNSYLVANIA AVE, OTTUMWA, IA 52501-2109
(641) 682-2350
(641) 683-4616
Mailing address
1116 PENNSYLVANIA AVE, OTTUMWA, IA 52501-2109
(641) 682-2350
(641) 683-4616
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
07963
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1182279
—
IA
Enumeration date
12/18/2007
Last updated
12/18/2007
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