| Michael K. Ban, Dmd | |
|
4725 Mcknight Rd Suite 209 Pittsburgh PA 15237-3414 | |
| (412) 367-3020 | |
| (412) 367-5940 |
| Full Name | Michael K. Ban, Dmd |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4725 Mcknight Rd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Michael K. Ban (DOCTOR/OWNER) |
| Authorized Official Contact | 4123673020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael K. Ban, Dmd 4725 Mcknight Rd Suite 209 Pittsburgh PA 15237-3414 Ph: (412) 367-3020 | Michael K. Ban, Dmd 4725 Mcknight Rd Suite 209 Pittsburgh PA 15237-3414 Ph: (412) 367-3020 |
| NPI Number | 1881043792 |
|---|---|
| Provider Enumeration Date | 06/10/2016 |
| Last Update Date | 06/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881043792 | NPI | - | NPPES |
| 0008772510002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS022496L (Pennsylvania) | Primary |
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