Innovative Endodontics North | |
2593 Wexford Bayne Rd Suite 304 Sewickley PA 15143-8608 | |
(724) 940-3963 | |
(724) 940-3965 |
Full Name | Innovative Endodontics North |
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Speciality | Dentist - Endodontics |
Location | 2593 Wexford Bayne Rd, Sewickley, Pennsylvania |
Authorized Official Name and Position | Michael E. Lisien (PRESIDENT) |
Authorized Official Contact | 7249403963 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Innovative Endodontics North 2593 Wexford Bayne Rd Suite 304 Sewickley PA 15143-8608 Ph: (724) 940-3963 | Innovative Endodontics North 2593 Wexford Bayne Rd Suite 304 Sewickley PA 15143-8608 Ph: (724) 940-3963 |
NPI Number | 1023428679 |
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Provider Enumeration Date | 05/05/2014 |
Last Update Date | 05/05/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023428679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | DS037555 (Pennsylvania) | Primary |
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