Provider Demographics
NPI:1679789085
Name:MORENZI, VANESSA A (DMD)
Entity Type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:A
Last Name:MORENZI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20 TREATY ELMS LANE
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033
Mailing Address - Country:US
Mailing Address - Phone:856-816-2748
Mailing Address - Fax:856-428-7728
Practice Address - Street 1:ALBERT EINSTEIN MEDICAL CENTER PHILADELPHIA
Practice Address - Street 2:5501 OLD YORK ROAD
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141
Practice Address - Country:US
Practice Address - Phone:215-456-7104
Practice Address - Fax:215-456-3482
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI142691223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics