Provider Demographics
NPI:1396639829
Name:DIGREGORIO, JOSEPH C (DMD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:C
Last Name:DIGREGORIO
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 1:148 HILLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08620-1220
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:TOWER BARRACKS, BUILDING 475,
Practice Address - Street 2:
Practice Address - City:GRAFENWOEHR
Practice Address - State:GERMANY
Practice Address - Zip Code:09114
Practice Address - Country:DE
Practice Address - Phone:063-719-4643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0451241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice