David H. Pavasko, DMD – General Practice Dentistry

Key facts

NPI: 1154462190
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: DS026704L (PA)
Practice address: 4810 Old William Penn Hwy
Suite #4
Export, PA 15632-9367
Phone: (724) 327-5995
Fax: (724) 327-3465
NPI assigned: Feb 11, 2007
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

David H.J. Pavasko, DMD, P.C. General Practice Dentistry · Export, PA · NPI 1982929899

NPD (past) GENERAL PRACTICE

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
DS026704L	PA	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
David H.J. Pavasko, DMD, P.C.	General Practice	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	DS026704L	PA	Yes

Addresses

Primary practice location

4810 Old William Penn Hwy
Suite #4
Export, PA 15632-9367

Mailing address

4810 Old William Penn Hwy
Suite #4
Export, PA 15632-9367
Phone (724) 327-5995

Other providers in Export, PA

Mark Andrew Nista, D.M.D.
Wesley W Orvosh, DC
Panther Chiropractic LLC
Carlie Parsell
Jotinder Kaur Patheja, MD
Hayley Elizabeth Peterson, MA, LPC, NCC, BCTMH
Leonard L Poliziani Jr., DMD
Tara Hogan Polons
Lindsay Prines, PHARMD
Sara Remaley, MSPC, CAADC, LPC

All providers in Export, PA · General Practice Dentistry in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.

Verify at the official NPI Registry.