Provider Demographics
NPI:1255594842
Name:CHIANESE, DANA KRISTANNE (DMD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:KRISTANNE
Last Name:CHIANESE
Suffix:
Gender:F
Credentials:DMD
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Mailing Address - Street 1:226 MONROE ST APT D
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-3361
Mailing Address - Country:US
Mailing Address - Phone:732-779-0619
Mailing Address - Fax:732-349-5475
Practice Address - Street 1:2301 E ALLEGHENY AVE STE 201
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-4427
Practice Address - Country:US
Practice Address - Phone:215-282-8000
Practice Address - Fax:215-427-1782
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS0384321223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry