Provider Demographics
NPI:1548583198
Name:PLONA, GREGORY ALAN (DMD)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:ALAN
Last Name:PLONA
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 1:26777 LORAIN ROAD
Mailing Address - Street 2:#600
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-3222
Mailing Address - Country:US
Mailing Address - Phone:440-734-3131
Mailing Address - Fax:440-734-3466
Practice Address - Street 1:26777 LORAIN ROAD
Practice Address - Street 2:#600
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-3222
Practice Address - Country:US
Practice Address - Phone:440-734-3131
Practice Address - Fax:440-734-3466
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0232211223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery