| Micucci Family Dentistry Pc | |
|
704 Lincoln Avenue Pittsburgh PA 15202 | |
| (412) 761-0202 | |
| (412) 761-0732 |
| Full Name | Micucci Family Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 704 Lincoln Avenue, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Joseph James Micucci (PRESIDENT) |
| Authorized Official Contact | 4127610202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Micucci Family Dentistry Pc 704 Lincoln Avenue Pittsburgh PA 15202 Ph: (412) 761-0202 | Micucci Family Dentistry Pc 704 Lincoln Avenue Pittsburgh PA 15202 Ph: (412) 761-0202 |
| NPI Number | 1598986416 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598986416 | NPI | - | NPPES |
| 594774 | Other | PA | UNITED CONCORDIA DELTA DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS026302L (Pennsylvania) | Secondary |
| 1223G0001X | Dentist - General Practice | DS028123 (Pennsylvania) | Primary |
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