Individual
DR. PETER J LOIACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
180 SOUTH MAIN ST, AVOCA, PA 18641
(570) 457-2945
(570) 457-2945
Mailing address
180 SOUTH MAIN ST, AVOCA, PA 18641
(570) 457-2945
(570) 457-2945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS022993L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078947
UNITED CONCORDIA
PA
01
—
75102
UNISON
PA
Enumeration date
11/09/2006
Last updated
07/08/2007
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