Nista Family Dental Center

Organization Active NPI Dental Clinic/Center · Export, PA

NPI 1003319260 · NPPES record last updated Mar 14, 2018

Key facts

NPI
1003319260
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
License
DS030346L (PA)
Legal business name
NISTA FAMILY DENTAL CENTER
Practice address
105 Pfeffer Rd Ste 2
Export, PA 15632-2046
Phone
(724) 733-3762
Fax
(724) 325-8058
NPI assigned
Mar 14, 2018
Organization subpart
No

Authorized official

Name
Dr. Mark A Nista, DMD
Title
Owner
Phone
(724) 733-3762

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS030346L PA Yes

Addresses

Primary practice location

105 Pfeffer Rd Ste 2
Export, PA 15632-2046

Mailing address

105 Pfeffer Rd Ste 2
Export, PA 15632-2046
Phone (724) 733-3762

Other names

  • Nista Family Dental Center PC Doing business as

Other providers in Export, PA

All providers in Export, PA · Dental Clinic/Center in Pennsylvania

Sources for this page

Verify at the official NPI Registry.