John W Pagasky, DDS
Individual provider Active NPI General Practice Dentistry · Coraoplis, PA
NPI 1609985696 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609985696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 19137L (PA)
- Practice address
- 937 Beaver Grade Rd
Coraoplis, PA 15108 - Phone
- (412) 262-5420
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 19137L | PA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19137L | PA | Yes |
Addresses
Primary practice location
937 Beaver Grade Rd
Coraoplis, PA 15108
Mailing address
937 Beaver Grade Rd
Coraoplis, PA 15108
Phone (412) 262-5420
Other providers in Coraoplis, PA
All providers in Coraoplis, 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.