Renu M George, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS036274 Issued in PA

Practice address

125 Wagner Rd
Suite 7 Allcare Dental and Dentures PC
Monaca, PA 15061

Phone

(724) 834-6720

Fax

(724) 834-3419

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013077676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 GRANDSHIRE DR",
            "city": "CRANBERRY",
            "state": "PA",
            "postal_code": "16066",
            "telephone_number": "724-741-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WAGNER RD",
            "address_2": "SUITE 7 ALLCARE DENTAL AND DENTURES PC",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "15061",
            "telephone_number": "724-834-6720",
            "fax_number": "724-834-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "RENU",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystelle Fisher, RBT
• Russell V. Foster, BCBA
• Kelly Lynn Franitti, RD, LDN
• Grace Gelpi, MOT, OTR/L
• Brandon Anthony Gennuso
• Joseph Gioan
• Louis Jason Glumac
• Lakshmi Menon Gopalan, RPH
• Richard Joseph Gradisek, D.D.S.
• Karen Graves, M.S.CCC-A

• Dentist in Monaca, PA
• Providers in Monaca, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.