Provider Demographics
NPI:1306902317
Name:GREGO, RONALD LEW (DMD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LEW
Last Name:GREGO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 WILMINGTON RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105
Mailing Address - Country:US
Mailing Address - Phone:724-674-7981
Mailing Address - Fax:724-652-9638
Practice Address - Street 1:3131 WILMINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105
Practice Address - Country:US
Practice Address - Phone:724-674-7981
Practice Address - Fax:724-652-9638
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026521L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist