Michael Bianco Dmd Inc. | |
88 Fort Couch Rd Suite 202 Pittsburgh PA 15241-1034 | |
(412) 835-1111 | |
(412) 835-1443 |
Full Name | Michael Bianco Dmd Inc. |
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Speciality | Dentist |
Location | 88 Fort Couch Rd, Pittsburgh, Pennsylvania |
Authorized Official Name and Position | Michael Martin Bianco (ORAL SURGEON) |
Authorized Official Contact | 4128351111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michael Bianco Dmd Inc. 88 Fort Couch Rd Suite 202 Pittsburgh PA 15241-1034 Ph: (412) 835-1111 | Michael Bianco Dmd Inc. 88 Fort Couch Rd Suite 202 Pittsburgh PA 15241-1034 Ph: (412) 835-1111 |
NPI Number | 1295862290 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 06/30/2016 |
Medicare PECOS PAC ID | 4284654146 |
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Medicare Enrollment ID | O20051207000075 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295862290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS021964L (Pennsylvania) | Primary |
Provider Name | Michael M Bianco |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1780756007 PECOS PAC ID: 6608896576 Enrollment ID: I20051207000235 |
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