Provider Demographics
NPI:1629159918
Name:RAYMOND R. LANCIONE, D.D.S., P.C.
Entity Type:Organization
Organization Name:RAYMOND R. LANCIONE, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:R
Authorized Official - Last Name:LANCIONE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:724-926-8555
Mailing Address - Street 1:101 N. MCDONALD STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MCDONALD
Mailing Address - State:PA
Mailing Address - Zip Code:15057-1232
Mailing Address - Country:US
Mailing Address - Phone:724-926-8555
Mailing Address - Fax:412-299-9205
Practice Address - Street 1:101 N. MCDONALD STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:MCDONALD
Practice Address - State:PA
Practice Address - Zip Code:15057-1232
Practice Address - Country:US
Practice Address - Phone:724-926-8555
Practice Address - Fax:412-299-9205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS013794L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty