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Dr. Michael A Renaldo, DDS
Oral and Maxillofacial Surgery (Dentist) in Bethlehem, Pennsylvania
NPI 1154314219

Michael A Renaldo is a Oral and Maxillofacial Surgery (Dentist) based in Bethlehem, PA and is specialized in Oral and Maxillofacial Surgery. Michael A Renaldo practices in Bethlehem, PA and has the professional credentials of DDS. The NPI Number for Michael A Renaldo is 1154314219 and holds a License No. DS019414L (Pennsylvania).

The current practice location address for Michael A Renaldo is 1521 8Th Ave Ste 101, Bethlehem, PA and can be reached out via phone at 610-865-8077 and via fax at 610-865-8112.

Location: 1521 8Th Ave Ste 101, Bethlehem, PA, 18018-1893
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154314219
Provider Name
Michael A Renaldo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1521 8Th Ave Ste 101, Bethlehem, PA, 18018-1893
Phone Number
610-865-8077
Fax Number
610-865-8112
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01412301 01 PA CAPITAL BLUE CROSS
182033 01 PA US HEALTHCARE
DS019414L 01 PA DENTAL LICENSE NUMBER
232702929 01 PA FEDERAL TAX ID #
028552 01 PA PA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1521 8Th Ave Ste 101
City
Bethlehem
State
Pennsylvania
Zip
18018-1893
Phone Number
610-865-8077
Fax Number
610-865-8112
person
Provider Business Mailing Address Details
Address
1521 8Th Ave Ste 101
City
Bethlehem
State
Pennsylvania
Zip
18018-1893
Phone Number
610-865-8077
Fax Number
610-865-8112
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DS019414L (Pennsylvania)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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