MICUCCI FAMILY DENTISTRY PC (NPI# 1598986416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598986416 |
| Entity Type | Organization |
| Organization Name | MICUCCI FAMILY DENTISTRY PC |
| Practice Address |
704 Lincoln Avenue Pittsburgh PA 15202 |
| Practice Telephone | 4127610202 |
| Practice Fax Number | 4127610732 |
| Mailing Telephone | 4127610202 |
| Mailing Fax Number | 4127610732 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOSEPH JAMES MICUCCI (PRESIDENT) |
| Authorized Official Telephone | 4127610202 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS026302L | PA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS028123 | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | UNITED CONCORDIA DELTA DE | 594774 | 01 |
| Street Address |
704 LINCOLN AVENUE |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174992135 | Darla Carter | Registered Nurse | 261 Center Avenue Apt.2, Emsworth, PA 15202 | 2015-09-21 |
| 1811385768 | Tonya Mckenzie | Specialist/Technologist | 527 Monroe Ave, Apt 306, Pittsburgh, PA 15202 | 2014-12-30 |
| 1891938932 | Shannon W Passineau | Dentist | 51 N. Balph Ave., Pittsburgh, PA 15202 | 2009-04-17 |
| 1396999348 | Kristina Kim | Occupational Therapist | 7206 Brighton Road, Ben Avon, PA 15202 | 2008-11-04 |
| 1437301108 | Ankle and Foot Care Inc | Podiatrist | 180 Lincoln Ave, Pittsburgh, PA 15202 | 2008-10-14 |
| 1689859456 | Frank Meacci Jr. | Psychologist | 315 Walnut Road, Pittsburgh, PA 15202 | 2007-12-29 |
| 1306964051 | Pittsburgh Regional Chiropractic Center | Chiropractor | 14 North Balph Ave., Pittsburgh, PA 15202 | 2007-03-27 |
| 1205998960 | Nicole Desiree Hahna | Music Therapist | 7115 Church Ave., Pittsburgh, PA 15202 | 2006-12-15 |
| 1780751743 | John Brian Debonis | Dentist | 467 Lincoln Avenue, Bellevue, PA 15202 | 2006-11-28 |
| 1730254178 | Bellevue Cardiology Associates | Internal Medicine | S Jackson Ave, Allegheny General Suburban Hospital, Pittsburgh, PA 15202 | 2006-11-21 |
| Find all providers in zip 15202 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477112340 | Dental Professionals of Pennsylvania, P.C. | Dentist | 425 1st Ave Fl 3, Pittsburgh, PA 15219-1321 | 2019-06-13 |
| 1255990537 | Michael Kaufman | Dentist | 1201 Broughton Rd # 200, Pittsburgh, PA 15236-3451 | 2019-06-10 |
| 1972160281 | Cesar Augustin Dental Inc - IIi | Dentist | 5450 Campbells Run Rd, Pittsburgh, PA 15205-1026 | 2019-05-22 |
| 1417420175 | Livewell Dentistry of Oakland | Dentist | 410 S Craig St Ste 102, Pittsburgh, PA 15213-3709 | 2019-01-05 |
| 1841778024 | Pittsburgh Dental Partners, LLC | Dentist | 128 N Craig St Ste 207, Pittsburgh, PA 15213-2758 | 2018-07-31 |
| 1336636984 | Leo T. Goode | Dentist | 833 Elm Spring Rd, Pittsburgh, PA 15243-1005 | 2018-04-19 |
| 1487155271 | Northside Dental | Dentist | 814 Cedar Avenue, Pittsburgh, PA 15212 | 2018-02-27 |
| 1700304383 | Maria Hays | Dentist | 112 Washington Pl Ste 1d, Pittsburgh, PA 15219-3461 | 2017-09-05 |
| 1073036760 | Dental Professionals of Pennsylvania, P.C. | Dentist | 9401 Mcknight Rd Ste 307, Pittsburgh, PA 15237-6000 | 2017-07-25 |
| 1376065219 | Xiaohan Fan | Dentist | 242 S Highland Ave # 201, Pittsburgh, PA 15206-3937 | 2017-07-12 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15202 |
Please comment or provide details below to improve the information on MICUCCI FAMILY DENTISTRY PC.
| 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.