Martin C. Misiura is a Dentist in Olyphant, Pennsylvania. Martin C. Misiura practices all healthcare services and medical treatments related to Dentist. The NPI Number for Martin C. Misiura is 1720150402. The last update date is 2007-07-08.
Martin C. Misiura's current location address is 418 Lackawanna Ave, Olyphant, Pennsylvania. You can contact this provider via phone number 5704895611 and fax number 5704893388. The mailing address for Martin C. Misiura is 418 Lackawanna Ave, Olyphant, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin C. Misiura |
|---|---|
| Address | 418 Lackawanna Ave, Olyphant, Pennsylvania |
| Phone Number | 5704895611 |
| Fax Number | 5704893388 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1720150402 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 418 Lackawanna Ave |
|---|---|
| City | Olyphant |
| State | Pennsylvania (PA) |
| Post Code | 184471524 |
| Phone Number | 5704895611 |
| Fax Number | 5704893388 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 25729 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique provider identifier assigned to Martin C. Misiura?
The Martin C. Misiura has been issued the NPI (National Provider Identifier) 1720150402 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Martin C. Misiura located?
The Martin C. Misiura is located at 418 Lackawanna Ave, Olyphant, PA 184471524.
What is Martin C. Misiura's specialized field of practice, and what is the corresponding taxonomy classification code?
The Martin C. Misiura's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date was the 1720150402 assigned to Martin C. Misiura?
The Martin C. Misiura was issued its 1720150402 on 2006-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Martin C. Misiura most recently updated or revised?
The details related to Martin C. Misiura, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.