National Provider Identifier
Glen Carmine Donnarumma, DDS
Glen Carmine Donnarumma, DDS is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) in Tonawanda, NY and a listed phone number of (716) 694-1134.
Profile Overview
- NPI
- 1053414284
- Provider Type
- Individual
- Primary Specialty
- Oral and Maxillofacial Surgery (Dentist)
- Enumeration Date
- September 06, 2006
- Last Updated
- February 21, 2017
Practice Location
- 711 Young St
- Tonawanda, NY 14150-4112
Phone: (716) 694-1134
Specialties
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
Full Record
- NPI
- 1053414284
- Entity Type
- Individual
- Last Name
- Donnarumma
- First Name
- Glen
- Middle Name
- Carmine
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 711 Young St
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-4112
- Mailing Country
- US
- Mailing Phone
- (716) 694-1134
- Mailing Fax
- (716) 694-0665
- Practice Street Address
- 711 Young St
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-4112
- Practice Country
- US
- Practice Phone
- (716) 694-1134
- Practice Fax
- (716) 694-0665
- Enumeration Date
- September 06, 2006
- Last Updated
- February 21, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)