Provider Demographics
NPI:1285763953
Name:IANNESSA, CHRISTINA LYNN (DMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:LYNN
Last Name:IANNESSA
Suffix:
Gender:F
Credentials:DMD
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Mailing Address - Street 1:980 BEAVER GRADE ROAD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108
Mailing Address - Country:US
Mailing Address - Phone:412-329-7267
Mailing Address - Fax:412-329-7486
Practice Address - Street 1:980 BEAVER GRADE ROAD
Practice Address - Street 2:SUITE 101
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108
Practice Address - Country:US
Practice Address - Phone:412-329-7267
Practice Address - Fax:412-329-7486
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2016-02-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY052035-11223P0221X
PA0365211223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry