Healthcare Provider Details

I. General information

NPI: 1992795322
Provider Name (Legal Business Name): DONALD JOSEPH RINCHUSE DMD MS MDS PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 07/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N GREENGATE RD STE 310
GREENSBURG PA
15601-7460
US

IV. Provider business mailing address

952 CASTLEGATE CIR
GREENSBURG PA
15601-8525
US

V. Phone/Fax

Practice location:
  • Phone: 724-853-2355
  • Fax: 724-853-0935
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS018616L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: