Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Domenic Baglivo Jr DMD, PC

Organization General Practice Dentistry · NPI 1033424155

Domenic Baglivo Jr DMD, PC is a 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
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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