Katarzyna Glab, DMD

Individual provider Active NPI General Practice Dentistry · Export, PA

NPI 1326367335 · NPPES record last updated Jun 1, 2010

Key facts

NPI
1326367335
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS038163 (PA)
Practice address
4806 William Penn Hwy
Export, PA 15632-9280
Phone
(724) 325-1274
NPI assigned
Jun 1, 2010
Sex
Female
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

LicenseStateTypeSpecialty
DS038163PAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X DS038163 PA Yes

Addresses

Primary practice location

4806 William Penn Hwy
Export, PA 15632-9280

Mailing address

5306 Butler St
Apt. 2
Pittsburgh, PA 15201-2614
Phone (864) 360-5843

Other providers in Export, PA

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

Sources for this page

Verify at the official NPI Registry.