# RICHARD A. DUKOVICH, D.M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033230511
- **Authorized official:** RICHARD A. DUKOVICH D.M.D. (DENTIST OWNER)
- **Authorized official phone:** (412) 831-3853

## Contact information

- **Practice address:** 4880 LIBRARY RD STE F, BETHEL PARK, PA 15102-2946
- **Practice address phone:** (412) 831-3853
- **Practice address fax:** (412) 831-7425
- **Mailing address:** 4880 LIBRARY RD STE F, BETHEL PARK, PA 15102-2946
- **Mailing address phone:** (412) 831-3853
- **Mailing address fax:** (412) 831-7425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS025717L | PA | Yes |
| 122300000X | Dentist | DS036422L | PA | — |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 172-4132 | CONCORDIA | PA |
| 01 | — | 1821105917 | DUKOVICH NPI | PA |
| 01 | — | 1902976889 | KORCH NPI | PA |
| 01 | — | 192-4037 | CONCORDIA | PA |
| 01 | — | 435-351 | CONCORDIA | PA |
