Provider Demographics
NPI:1407818321
Name:QUAGLIARIELLO, DENIS ANDREW (DMD)
Entity Type:Individual
Prefix:DR
First Name:DENIS
Middle Name:ANDREW
Last Name:QUAGLIARIELLO
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 1:2309 POPLAR RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-1643
Mailing Address - Country:US
Mailing Address - Phone:610-446-8364
Mailing Address - Fax:
Practice Address - Street 1:1502 W CHESTER PIKE
Practice Address - Street 2:SUITE 20
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-7705
Practice Address - Country:US
Practice Address - Phone:610-692-3312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029408L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice