JUSTIN PISANO (NPI# 1477927085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477927085 |
| Entity Type | Individual |
| Full Name | JUSTIN PISANO |
| Credential | D.D.S. |
| Practice Address |
429 Nw 11th St Apt 6 Oklahoma City OK 73103-3927 |
| Mailing Address |
429 Nw 11th St Apt 6 Oklahoma City OK 73103 |
| Practice Telephone | 7346041843 |
| Mailing Telephone | 7346041843 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
1318 | OK | Dental Providers |
| Street Address |
429 NW 11TH ST APT 6 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73103-3927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
| 1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
| 1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
| 1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
| 1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
| 1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
| 1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
| 1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
| 1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
| Find all providers in zip 73103 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558776989 | Daniel Szalay | Dentist | 1201 N Stonewall Ave Ste 206, Oklahoma City, OK 73117-1214 | 2014-06-24 |
| 1649690025 | Andrew Mcgarry | Dentist | 10900 Hefner Pointe Dr Ste 204, Oklahoma City, OK 73120 | 2014-04-23 |
| 1538391214 | Mayflower Oral and Maxillofacial Surgery Pllc | Dentist | 5600 N May Ave, Suite 250, Oklahoma City, OK 73112-3973 | 2009-08-14 |
| 1962523100 | University Oral & Maxillofacial Surgeons | Dentist | 1201 North Stonewall Avenue, Oklahoma City, OK 73117 | 2007-04-03 |
| 1649313206 | Anil K Kashyap | Dentist | 920 Stanton L Young Blvd Dept, Wp-2140, Oklahoma City, OK 73104-5036 | 2007-02-14 |
| 1497894604 | Zeneida G Vasquez Dds PC | Dentist | 1224 Sw 104th St, Suite B, Oklahoma City, OK 73139-3020 | 2007-02-05 |
| 1073681789 | James Andrew Wendelken | Dentist | 3727 Nw 63 Street, Suite 300, Oklahoma City, OK 73116 | 2006-12-01 |
| 1043384357 | William M. Croom | Dentist | 1201 N Stonewall Ave # Dcsb206, Oklahoma City, OK 73117-1214 | 2006-11-20 |
| 1841371010 | Michael Duffy | Dentist | 1201 N Stonewall Ave Ste 230, Oklahoma City, OK 73117 | 2006-10-17 |
| 1427148394 | Emily Marie Frye | Dentist | 3100 W Britton Rd Ste A, Oklahoma City, OK 73120-2036 | 2006-10-13 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73103 |
Please comment or provide details below to improve the information on JUSTIN PISANO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.