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NPI Code Detail

MEDICARE: DR. DAVID LOUIS REGINE DMD

MEDICARE: DR. DAVID LOUIS REGINE DMD
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
11223G0001XGeneral Practice DentistryDS021866LPA

General Provider Information

NPI Number : 1437273901
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID LOUIS REGINE DMD
Provider Business Mailing Address
First Line : 1405 PESAVENTO DR
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-2617
Country : US
Telephone Number : 412-221-6250
Fax Number :
Provider Business Practice Location Address
First Line : 431 RAILROAD ST
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-2329
Country : US
Telephone Number : 412-221-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID LOUIS REGINE DMD” Practice Location

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