Healthcare Provider Details

I. General information

NPI: 1700876042
Provider Name (Legal Business Name): DANIEL JOSEPH RINCHUSE DMD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 PELLIS RD
GREENSBURG PA
15601-4583
US

IV. Provider business mailing address

510 PELLIS RD
GREENSBURG PA
15601-4583
US

V. Phone/Fax

Practice location:
  • Phone: 724-832-1190
  • Fax: 724-832-6843
Mailing address:
  • Phone: 724-832-1190
  • Fax: 724-832-6843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS01861SL
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: