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NPI Code Detail

MEDICARE: DR. JOSEPH THOMAS LAMENDELLA D.M.D.

MEDICARE:  DR. JOSEPH THOMAS LAMENDELLA  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry0315761NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104046069
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH THOMAS LAMENDELLA D.M.D.
Provider Business Mailing Address
First Line : 1235 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-7433
Country : US
Telephone Number : 718-761-8856
Fax Number : 718-761-8323
Provider Business Practice Location Address
First Line : 1235 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-7433
Country : US
Telephone Number : 718-761-8856
Fax Number : 718-761-8323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 07/08/2007

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Directions to “ DR. JOSEPH THOMAS LAMENDELLA D.M.D.” Practice Location

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