Provider Demographics
NPI:1245592567
Name:BEGGS, GREGORY A (DMD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:A
Last Name:BEGGS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 STONEBORO LATERAL ROAD
Mailing Address - Street 2:
Mailing Address - City:STONEBORO
Mailing Address - State:PA
Mailing Address - Zip Code:16153
Mailing Address - Country:US
Mailing Address - Phone:724-456-9846
Mailing Address - Fax:
Practice Address - Street 1:114 S STATE RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-1218
Practice Address - Country:US
Practice Address - Phone:610-544-3777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039094122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist