Tagliareni, Jonathan Michael
Tagliareni, Jonathan Michael is an sole proprietor health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-2769. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Tagliareni, Jonathan Michael can be contacted via phone (570) 271-6355.Contact Information
Primary practice address
100 N Academy Ave
Danville PA 17822-2769
Phone: (570) 271-6355
Fax: (570) 271-5788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS045057 | Pennsylvania |
Profile Details
| NPI number | 1700182482 |
|---|---|
| LBN Legal business name | Tagliareni, Jonathan Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2011 |
| Last updated | Jul 22nd, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700182482 | NPPES |
| South Carolina | MEDICAID | ZX9479 |
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