National Provider Identifier
John C Gengo, DDS
John C Gengo, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Olean, NY and a listed phone number of (716) 372-8970.
Profile Overview
- NPI
- 1023102506
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- October 02, 2006
- Last Updated
- July 08, 2007
Practice Location
- 120 North Second St.
- Olean, NY 14760-2502
Phone: (716) 372-8970
Mailing Address
- 1253 Kamery RD.
- Olean, NY 14760-2502
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1023102506
- Entity Type
- Individual
- Last Name
- Gengo
- First Name
- John
- Middle Name
- C
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 1253 Kamery RD.
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-2502
- Mailing Country
- US
- Mailing Phone
- (716) 372-8970
- Practice Street Address
- 120 North Second St.
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-2502
- Practice Country
- US
- Practice Phone
- (716) 372-8970
- Enumeration Date
- October 02, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)