Mara Lynn Biancucci, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS030617L Issued in PA

Practice address

605 Perry Hwy
Pittsburgh, PA 15229-2723

Phone

(412) 939-6310

Fax

(412) 383-7862

NPI assigned

Apr 21, 2006

Last updated

Oct 19, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Prof. Mara Lynn Dunlap Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1417913336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 PERRY HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152292723",
            "telephone_number": "412-939-6310",
            "fax_number": "412-383-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 PERRY HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152292723",
            "telephone_number": "412-939-6310",
            "fax_number": "412-383-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCUCCI",
        "first_name": "MARA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS030617L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARA",
            "last_name": "DUNLAP",
            "middle_name": "LYNN",
            "prefix": "PROF.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sydney Bianchin
• Alicia Ann Bianco-Floom, MD
• Camden Bianco, LPC
• Kaitlyn Bianco
• Michael Martin Bianco, DMD
• Paul D. Bianculli, M.D.
• Caitlyn Marie Biase, PA-C
• Ryan Bibbs, BA PSYCHOLOGY
• Julanne Bibro-Ruch, LCSW
• Tanmayee Bichile, MD

• Dentist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.