Provider Demographics
NPI:1881352698
Name:NEGRESCU, EMANUELA (DMD)
Entity type:Individual
Prefix:
First Name:EMANUELA
Middle Name:
Last Name:NEGRESCU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 CALIZA CIR APT 6223
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32084-0028
Mailing Address - Country:US
Mailing Address - Phone:121-653-4088
Mailing Address - Fax:
Practice Address - Street 1:60 CALIZA CIR APT 6223
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-0028
Practice Address - Country:US
Practice Address - Phone:121-653-4088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-30
Last Update Date:2023-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.026682122300000X
FLDN27801122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist