Provider Demographics
NPI:1811951916
Name:CASAGRANDE, ANGELO FRANCIS (DMD)
Entity type:Individual
Prefix:
First Name:ANGELO
Middle Name:FRANCIS
Last Name:CASAGRANDE
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 1:2114 MACDADE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOLMES
Mailing Address - State:PA
Mailing Address - Zip Code:19043-1408
Mailing Address - Country:US
Mailing Address - Phone:610-237-9070
Mailing Address - Fax:610-237-0117
Practice Address - Street 1:2114 MACDADE BLVD
Practice Address - Street 2:
Practice Address - City:HOLMES
Practice Address - State:PA
Practice Address - Zip Code:19043-1408
Practice Address - Country:US
Practice Address - Phone:610-237-9070
Practice Address - Fax:610-237-0117
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADSO187331223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry