Organization
DANIEL W. PITUCH, DMD, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL W PITUCH DMD, MD (PRESIDENT)
(412) 469-7466
Entity
Organization
Contact information
Practice address
575 COAL VALLEY RD, SUITE 316, JEFFERSON HILLS, PA 15025-3730
(412) 469-7466
(412) 469-7467
Mailing address
575 COAL VALLEY RD, SUITE 316, JEFFERSON HILLS, PA 15025-3730
(412) 469-7466
(412) 469-7467
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS027222
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS035466
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619901600
DR. KAIL NPI #
PA
01
—
1780685958
DR. PITUCH NPI #
PA
Enumeration date
08/20/2006
Last updated
08/22/2020
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