LAWRENCE DAVID KISELICA DDS NPI 1124104393

NPI Information

NPI: 1124104393
Provider Name: LAWRENCE DAVID KISELICA, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
114 E DIAMOND ST
BUTLER, PA
ZIP 16001
Phone: (724) 282-6100
Get Directions

Lawrence David Kiselica, DDS is an oral and maxillofacial surgery dentist in Butler, PA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Lawrence David Kiselica, DDS NPI is 1124104393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

114 E DIAMOND ST
BUTLER, PA
ZIP 16001-918
Phone: (724) 282-6100
Fax: (724) 282-7701

The enumeration date for this NPI number is 10/31/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DS019428L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U92886	MEDICARE UPIN
2	KI064922	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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