Provider Demographics
NPI:1306923768
Name:PAGLIARINI, ERNANI M (DMD)
Entity type:Individual
Prefix:
First Name:ERNANI
Middle Name:M
Last Name:PAGLIARINI
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 1:1291 WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:PA
Mailing Address - Zip Code:18643
Mailing Address - Country:US
Mailing Address - Phone:570-654-7960
Mailing Address - Fax:
Practice Address - Street 1:1291 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:PA
Practice Address - Zip Code:18643
Practice Address - Country:US
Practice Address - Phone:570-654-7960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019290L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice