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NPI 1780705475

NPI 1780705475 : DRS RONALD & CHRISTOPHER DILEO : ALLENTOWN, PA

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General NPI Number Information
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    NPI Number           |    1780705475
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    Entity Type          |    Organization 
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    Legal Business Name  |    DRS RONALD & CHRISTOPHER DILEO 
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Dates
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    Enumeration Date     |    04/02/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    4104 W TILGHMAN STREET 
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    City                 |    ALLENTOWN
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    State                |    PA
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    Zip                  |    18104
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    Country              |    US
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    Telephone            |    610-821-0422
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    Fax                  |    610-821-9018
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Provider Business Mailing Address
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    Address Line         |    4104 W TILGHMAN STREET 
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    City                 |    ALLENTOWN
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    State                |    PA
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    Zip                  |    18104
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    Country              |    US
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    Telephone            |    610-821-0422
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    Fax                  |    610-821-9018
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. CHRISTOPHER T DILEO 
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    Credential           |    DMD
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    Telephone            |    610-821-0422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    204E00000X
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    Taxonomy Name        |    Oral & Maxillofacial Surgery (D.M.D.)
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    License Number       |    DS014226L
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    204E00000X
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    Taxonomy Name        |    Oral & Maxillofacial Surgery (D.M.D.)
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    License Number       |    DS027267L
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    DA014226A
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    License Number State |    PA
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Taxonomy #4
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    DA027267A
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    License Number State |    PA
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