Nicholas J Fedorka Dmd Pc in Meadville - Oral And Maxillofacial Pathology

Nicholas J Fedorka Dmd Pc - NPI 1265571426

Nicholas J Fedorka Dmd Pc is a Oral And Maxillofacial Pathology in Meadville, Pennsylvania. Nicholas J Fedorka Dmd Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Nicholas J Fedorka Dmd Pc is 1265571426. The last update date is 2007-10-02.

Nicholas J Fedorka Dmd Pc's current location address is 505 Poplar Street, Meadville, Pennsylvania. You can contact this provider via phone number 8143334454 and fax number 8143363357. The mailing address for Nicholas J Fedorka Dmd Pc is 505 Poplar Street, Meadville, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Nicholas J Fedorka Dmd Pc
Address 505 Poplar Street, Meadville, Pennsylvania
Phone Number 8143334454
Fax Number 8143363357
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER ORAL
Authorized Official Name Fedorka Jerome Nicholas
Credentials DMD
Telephone Number 8143363357

NPI Number Detail

NPI Number 1265571426
Provider Enumeration Date 2007-02-05
Last Updated Date 2007-10-02

Provider Mailing Address Detail

Address 505 Poplar Street
City Meadville
State Pennsylvania (PA)
Post Code 16335
Phone Number 8143334454
Fax Number 8143363357

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No DS023205L
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8854040002 PA --
8854040004 PA --
134372 HIGHMARK BCBS
103082 UPMC

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FAQs about Nicholas J Fedorka Dmd Pc

What is the Nicholas J Fedorka Dmd Pc's 1265571426?

The Nicholas J Fedorka Dmd Pc's NPI (National Provider Identifier) Number is 1265571426. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Nicholas J Fedorka Dmd Pc is physically located?

The Nicholas J Fedorka Dmd Pc is situated at the following address: 505 Poplar Street, Meadville, PA 16335.

What is Nicholas J Fedorka Dmd Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Nicholas J Fedorka Dmd Pc is Oral And Maxillofacial Pathology, and the taxonomy code that classifies this field of practice is 1223P0106X.

When did Nicholas J Fedorka Dmd Pc receive its 1265571426 assignment?

The Nicholas J Fedorka Dmd Pc was assigned its 1265571426 on 2007-02-05, which is the date when this unique identifier was issued to the organization.

When was the information related to Nicholas J Fedorka Dmd Pc most recently updated or refreshed?

The details pertaining to the Nicholas J Fedorka Dmd Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-02.

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