| Martin L. Supowitz, Dmd, Msd, Llc | |
|
5433 Walnut St Ste 200 Pittsburgh PA 15232-3215 | |
| (412) 687-3232 | |
| Not Available |
| Full Name | Martin L. Supowitz, Dmd, Msd, Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 5433 Walnut St Ste 200, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Martin L. Supowitz (PRESIDENT) |
| Authorized Official Contact | 4126873232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin L. Supowitz, Dmd, Msd, Llc 5433 Walnut St Ste 200 Pittsburgh PA 15232-3215 Ph: (412) 687-3232 | Martin L. Supowitz, Dmd, Msd, Llc 5433 Walnut St Ste 200 Pittsburgh PA 15232-3215 Ph: (412) 687-3232 |
| NPI Number | 1508471913 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 09/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508471913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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