# NISTA FAMILY DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nista Family Dental Center PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003319260
- **Authorized official:** DR. MARK A NISTA DMD (OWNER)
- **Authorized official phone:** (724) 733-3762

## Contact information

- **Practice address:** 105 PFEFFER RD STE 2, EXPORT, PA 15632-2046
- **Practice address phone:** (724) 733-3762
- **Practice address fax:** (724) 325-8058
- **Mailing address:** 105 PFEFFER RD STE 2, EXPORT, PA 15632-2046
- **Mailing address phone:** (724) 733-3762
- **Mailing address fax:** (724) 325-8058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS030346L | PA | Yes |

## Other

- **Enumeration date:** 03/14/2018
- **Last updated:** 03/14/2018