Provider Demographics
NPI:1013077676
Name:GEORGE, RENU M (DMD)
Entity Type:Individual
Prefix:
First Name:RENU
Middle Name:M
Last Name:GEORGE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 GRANDSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY
Mailing Address - State:PA
Mailing Address - Zip Code:16066
Mailing Address - Country:US
Mailing Address - Phone:724-741-0705
Mailing Address - Fax:
Practice Address - Street 1:125 WAGNER RD
Practice Address - Street 2:SUITE 7 ALLCARE DENTAL AND DENTURES PC
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061
Practice Address - Country:US
Practice Address - Phone:724-834-6720
Practice Address - Fax:724-834-3419
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS036274122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist