Individual provider · NPI-1

Tina Fanelli

Dentist, Orthodontics and Dentofacial Orthopedics · Danville, PA

NPI number1346793163
StatusActive
Last updated in NPPESNov 2, 2026

Details

NPI
1346793163
Entity type
Individual (NPI-1)
Name
Tina Fanelli
Sex
Female
Sole proprietor
No
Enumeration date
Jul 28, 2016
Certification date
Nov 2, 2026
Last updated
Nov 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial OrthopedicsDS040988PAYes

Practice location

100 North Academy Ave
Danville, PA 17822
Danville, PA 17822-9800

Phone 570-271-6355 · Fax 570-271-5788

Mailing address

100 N Academy Ave
Danville, PA 17822-9800

Phone 570-271-6211

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