Provider Demographics
NPI:1619042363
Name:ENEA, PASQUAL J (DDS)
Entity Type:Individual
Prefix:DR
First Name:PASQUAL
Middle Name:J
Last Name:ENEA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2131 NORTHAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-3141
Mailing Address - Country:US
Mailing Address - Phone:610-252-3425
Mailing Address - Fax:610-252-3090
Practice Address - Street 1:2131 NORTHAMPTON ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3141
Practice Address - Country:US
Practice Address - Phone:610-252-3425
Practice Address - Fax:610-252-3090
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS014232L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice