# MARK A. MIKUS, D.M.D., INC.

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

## Provider details

- **NPI number:** 1558533422
- **Authorized official:** MRS. TINA MIKUS (OFFICE MANAGER)
- **Authorized official phone:** (724) 772-3209

## Contact information

- **Practice address:** 9400 MCKNIGHT RD STE 101, PITTSBURGH, PA 15237-6007
- **Practice address phone:** (412) 369-7122
- **Practice address fax:** (412) 369-7433
- **Mailing address:** 505 CREEKSIDE CT, CRANBERRY TOWNSHIP, PA 16066-3371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS031540L | PA | Yes |

## Other

- **Enumeration date:** 03/31/2008
- **Last updated:** 05/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0018411370005 | — | PA |