Jason E. Bihary, D.M.D.
Individual provider Active NPI Dentist · Tyrone, PA
NPI 1104942804 · NPPES record last updated Aug 1, 2011
Key facts
- NPI
- 1104942804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS031657-L (PA)
- Practice address
- 1055 Logan Ave
Tyrone, PA 16686-1521 - Phone
- (814) 684-3261
- Fax
- (814) 684-3280
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS031657-L | PA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS031657-L | PA | Yes |
Addresses
Primary practice location
1055 Logan Ave
Tyrone, PA 16686-1521
Mailing address
1055 Logan Ave
Tyrone, PA 16686-1521
Phone (814) 684-3261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000563403 | Other | PA | GRP ID# UCCI |
| 001561470 | Other | PA | PIN-UCCI |
| 1295764868 | Other | PA | GROUP NPI |
Other providers in Tyrone, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.