| Michael V. Jaconski, Dmd,pc | |
|
4000 Mount Royal Blvd Allison Park PA 15101-2918 | |
| (412) 486-6777 | |
| (412) 487-8161 |
| Full Name | Michael V. Jaconski, Dmd,pc |
|---|---|
| Speciality | Dentist |
| Location | 4000 Mount Royal Blvd, Allison Park, Pennsylvania |
| Authorized Official Name and Position | Michael V. Jaconski (OWNER) |
| Authorized Official Contact | 4124866777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael V. Jaconski, Dmd,pc 4000 Mount Royal Blvd Allison Park PA 15101-2918 Ph: (412) 486-6777 | Michael V. Jaconski, Dmd,pc 4000 Mount Royal Blvd Allison Park PA 15101-2918 Ph: (412) 486-6777 |
| NPI Number | 1619052040 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619052040 | NPI | - | NPPES |
| 1587105 | Other | PA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS025964L (Pennsylvania) | Primary |
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