Doctor Name: | DR. CHRISTINA LYNN IANNESSA |
NPI Number: | 1285763953 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.M.D. |
License Number: | 052035-1 |
Business Practice Address: | 980 Beaver Grade Road Suite 101 Moon Township, PA - 15108 |
Business Phone Number: | 4123297267 |
Business Fax Number: | 4123297486 |
Mailing Address: | 980 Beaver Grade Road, Suite 101 MOON TOWNSHIP |
State: | PA |
Postal Code: | 15108 |
Phone Number: | 4123297267 |
Fax Number: | 4123297486 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 02/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 052035-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |