Provider Demographics
NPI:1790931608
Name:BORGHETTI, ERNEST JOSEPH JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:JOSEPH
Last Name:BORGHETTI
Suffix:JR
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 1:3530 BELMONT AVE
Mailing Address - Street 2:LIBERTY CENTRE SUITE 11
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-1400
Mailing Address - Country:US
Mailing Address - Phone:330-759-1897
Mailing Address - Fax:330-759-1898
Practice Address - Street 1:3530 BELMONT AVE
Practice Address - Street 2:LIBERTY CENTRE SUITE 11
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1400
Practice Address - Country:US
Practice Address - Phone:330-759-1897
Practice Address - Fax:330-759-1898
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH13602122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist