Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Domenic Baglivo Jr DMD, PC

Organization General Practice Dentistry · NPI 1033424155

Domenic Baglivo Jr DMD, PC provides General Practice Dentistry in Wynnewood, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2010.

Licensed in
PA
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 E Lancaster Ave Ste 203W Lankenau Medical Bldg South
Wynnewood, PA 19096 Not confirmed with CMS for 16 years — call before visiting
Phone: (610) 642-0259
Fax: (610) 896-6405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS-025340-L (PA)

Record details

NPI number1033424155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Domenic Baglivo — President · (610) 642-0259
NPI enumeratedAugust 12, 2010
Last updated in NPPESAugust 12, 2010
Mailing address100 East Lancaster Avenue, Lankenau Medical Bldg - Suite 203w, Wynnewood, PA 19096

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