Vincent I. Disalvo, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS015354L Issued in PA

Legal business name

VINCENT I. DISALVO, INC.

Practice address

121 E 4TH St
Williamsport, PA 17701-6303

Phone

(570) 322-4741

Fax

(570) 323-6110

NPI assigned

Jun 26, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vincent I Disalvo, D.D.S.

Title

President

Phone

(570) 322-4741

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1003044264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 4TH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016303",
            "telephone_number": "570-322-4741",
            "fax_number": "570-323-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 4TH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016303",
            "telephone_number": "570-322-4741",
            "fax_number": "570-323-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT I. DISALVO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "DISALVO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-322-4741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS015354L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer P Vasinda, DO
• Cyril Townsend Velkoff, M.S.
• Viorica Valentin Velott, CRNP
• Jeffrey Verzella
• Melanie Lozano Villegas, PT
• Mary Ann Vincenti, RD
• Kristin Vincenzes, PH.D., LPC, NCC, ACS
• Viriditas LLC
• Merete Vogelsong
• Parker Steven Voitek, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.