| Organization Name: | PHILIP J. PANDOLFI, DMD, PLLC |
| NPI Number: | 1003131731 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILIP J. PANDOLFI (OWNER/OPERATOR) |
| Mailing Address: | 2105 Evelyn Byrd Ave Harrisonburg |
| State: | VA US |
| Postal Code: | 228015431 |
| Phone Number: | 5404331751 |
| Fax Number: | 5404331756 |
| NPI Enumeration Date: | 04/06/2010 |
| NPI Last Update Date: | 04/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204E00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Oral & Maxillofacial Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |