Provider Demographics
NPI:1316163397
Name:LIGNELLI, JOHN L II (DMD)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:L
Last Name:LIGNELLI
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:235 CLUBHOUSE CIR
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19525-8808
Mailing Address - Country:US
Mailing Address - Phone:610-326-7880
Mailing Address - Fax:
Practice Address - Street 1:1630 E HIGH ST
Practice Address - Street 2:BLD #4
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3244
Practice Address - Country:US
Practice Address - Phone:610-326-1972
Practice Address - Fax:610-326-5491
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS0357991223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery