Provider Demographics
NPI:1003214479
Name:PATRICK J VALLANO DMD
Entity Type:Organization
Organization Name:PATRICK J VALLANO DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:VALLANO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-832-1420
Mailing Address - Street 1:12 N URANIA AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2631
Mailing Address - Country:US
Mailing Address - Phone:724-832-1420
Mailing Address - Fax:
Practice Address - Street 1:12 N URANIA AVE
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2631
Practice Address - Country:US
Practice Address - Phone:724-832-1420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-019500-L251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable