Provider Demographics
NPI:1760991269
Name:DAGATI, JOSEPH M (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:M
Last Name:DAGATI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 BOARDMAN POLAND RD STE 100A
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-5105
Mailing Address - Country:US
Mailing Address - Phone:330-980-9225
Mailing Address - Fax:330-800-2103
Practice Address - Street 1:721 BOARDMAN POLAND RD STE 100A
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-5105
Practice Address - Country:US
Practice Address - Phone:330-980-9225
Practice Address - Fax:330-800-2103
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-27
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH157371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice