Provider Demographics
NPI:1528038049
Name:PATREGNANI & MORRA DDS PLLC
Entity Type:Organization
Organization Name:PATREGNANI & MORRA DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PATREGNANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:518-235-3862
Mailing Address - Street 1:7 PINE ST
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:NY
Mailing Address - Zip Code:12188-2317
Mailing Address - Country:US
Mailing Address - Phone:518-235-3862
Mailing Address - Fax:518-235-1508
Practice Address - Street 1:7 PINE ST
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:NY
Practice Address - Zip Code:12188-2317
Practice Address - Country:US
Practice Address - Phone:518-235-3862
Practice Address - Fax:518-235-1508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty