Provider Demographics
NPI:1700421823
Name:STANGO, ALAINA (RDH, PHDHP)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:
Last Name:STANGO
Suffix:
Gender:F
Credentials:RDH, PHDHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 SALTSBURG RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15725-7801
Mailing Address - Country:US
Mailing Address - Phone:724-549-1982
Mailing Address - Fax:
Practice Address - Street 1:3815 SALTSBURG RD
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:PA
Practice Address - Zip Code:15725-7801
Practice Address - Country:US
Practice Address - Phone:724-549-1982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADH069814124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist