Provider Demographics
NPI:1386721116
Name:TARTAGLIA, JOSEPH STEVEN (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:STEVEN
Last Name:TARTAGLIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:STEVEN
Other - Last Name:TARTAGLIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:540 2ND STREET PIKE
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3805
Mailing Address - Country:US
Mailing Address - Phone:215-322-1130
Mailing Address - Fax:
Practice Address - Street 1:540 2ND STREET PIKE
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3805
Practice Address - Country:US
Practice Address - Phone:215-322-1130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS02378-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist