Individual
DR. JESSICA MARIE PIZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
3784 YALICK PLZ UNIT 1, DALLAS, PA 18612-7719
(570) 456-5566
(570) 456-5567
Mailing address
126 SENECA DR, OLD FORGE, PA 18518-1598
(570) 885-9531
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
30.025010
OH
1223P0221X
Pediatric Dentistry
Primary
DS039571
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0227239
—
OH
Enumeration date
03/21/2013
Last updated
10/28/2023
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