Provider Demographics
NPI:1205909413
Name:ENEA DENTAL ASSOCIATES
Entity type:Organization
Organization Name:ENEA DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PASQUAL
Authorized Official - Middle Name:J
Authorized Official - Last Name:ENEA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:610-252-3425
Mailing Address - Street 1:2131 NORTHAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042
Mailing Address - Country:US
Mailing Address - Phone:610-252-3425
Mailing Address - Fax:610-252-3090
Practice Address - Street 1:2131 NORTHAMPTON ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042
Practice Address - Country:US
Practice Address - Phone:610-252-3425
Practice Address - Fax:610-252-3090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS014232L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty