Organization
RICHARD A. DUKOVICH, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A. DUKOVICH D.M.D. (DENTIST OWNER)
(412) 831-3853
Entity
Organization
Contact information
Practice address
4880 LIBRARY RD STE F, BETHEL PARK, PA 15102-2946
(412) 831-3853
(412) 831-7425
Mailing address
4880 LIBRARY RD STE F, BETHEL PARK, PA 15102-2946
(412) 831-3853
(412) 831-7425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS025717L
PA
122300000X
Dentist
DS036422L
PA
Other
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
Enumeration date
04/03/2007
Last updated
08/22/2020
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