Provider Demographics
NPI:1689718066
Name:ANTHONY J. DIORIO DDS,PC
Entity Type:Organization
Organization Name:ANTHONY J. DIORIO DDS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DIORIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:215-624-4955
Mailing Address - Street 1:7046 TORRESDALE AVE
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19135-1915
Mailing Address - Country:US
Mailing Address - Phone:215-624-4955
Mailing Address - Fax:
Practice Address - Street 1:7046 TORRESDALE AVE
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19135-1915
Practice Address - Country:US
Practice Address - Phone:215-624-4955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-18
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024179L261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental