David Glenn Badstibner, D.D.S.
Individual provider Active NPI General Practice Dentistry · McKeesport, PA
NPI 1609104124 · NPPES record last updated Nov 20, 2009
Key facts
- NPI
- 1609104124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS-018198-L (PA)
- Practice address
- 1414 Lincoln Way
McKeesport, PA 15131 - Phone
- (412) 678-2041
- NPI assigned
- Nov 20, 2009
- 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 |
|---|---|---|---|
| DS-018198-L | PA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS-018198-L | PA | Yes |
Addresses
Primary practice location
1414 Lincoln Way
McKeesport, PA 15131
Mailing address
1414 Lincoln Way
McKeesport, PA 15131
Phone (412) 678-2041
Other providers in McKeesport, PA
- Isabel R Aure
- Oday Awad
- Ademidun Oluwatosin Ayoade
- Robert Babb
- Benjamin Daniel Bach
- Amirbehzad Bagheri
- Lindsey Baker
- Patricia L Baker
- Sondra Baker
- Vidya Balakrishna Sharma
All providers in McKeesport, 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 Nov 20, 2009. 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.