Provider Demographics
NPI:1619209582
Name:GILINGER, MEGAN COLLEEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:COLLEEN
Last Name:GILINGER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 IRON HILL WAY STE D404
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-2833
Mailing Address - Country:US
Mailing Address - Phone:760-219-9811
Mailing Address - Fax:
Practice Address - Street 1:152 IRON HILL WAY
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-2833
Practice Address - Country:US
Practice Address - Phone:760-219-9811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA586041223G0001X
PADS038946122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice