Lawrence David Kiselica, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS019428L Issued in PA

Practice address

114 E Diamond St
Butler, PA 16001-5918

Phone

(724) 282-6100

Fax

(724) 282-7701

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124104393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 EAST DIAMOND ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015906",
            "telephone_number": "724-282-6100",
            "fax_number": "724-282-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E DIAMOND ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015918",
            "telephone_number": "724-282-6100",
            "fax_number": "724-282-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISELICA",
        "first_name": "LAWRENCE",
        "middle_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS019428L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Count II
• Tori Kilcoin, PA-C
• Daniel D Kim, MD
• Abel Kirch, R.N.
• William Thomas Kircher
• Jonathan Klemens, RPH, MSLBE
• Marcee Klixbull, LCSW
• David Anthony Klodowski, MD, MPH
• Brianna Knapik, MS, RD, LDN
• Brittney Anne Knass, PHARMD

• Oral and Maxillofacial Surgery (Dentist) in Butler, PA
• Providers in Butler, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.