| Adam Divincenzo Dmd Pa | |
|
300 Northpark Dr Ste 300 Kingwood TX 77339-1546 | |
| (412) 973-2846 | |
| Not Available |
| Full Name | Adam Divincenzo Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 300 Northpark Dr Ste 300, Kingwood, Texas |
| Authorized Official Name and Position | Adam Joseph Divincenzo (OWNER/PRESIDENT) |
| Authorized Official Contact | 4129732846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Divincenzo Dmd Pa 300 Northpark Dr Ste 300 Kingwood TX 77339-1546 Ph: (412) 973-2846 | Adam Divincenzo Dmd Pa 300 Northpark Dr Ste 300 Kingwood TX 77339-1546 Ph: (412) 973-2846 |
| NPI Number | 1366943524 |
|---|---|
| Provider Enumeration Date | 02/23/2018 |
| Last Update Date | 02/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366943524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 27800 (Texas) | Primary |
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