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INNOVATIVE ENDODONTICS NORTH NPI 1023428679


NPI Information

NPI: 1023428679
Provider Name: INNOVATIVE ENDODONTICS NORTH
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
2593 WEXFORD BAYNE RD
SUITE 304
SEWICKLEY, PA
ZIP 15143
Phone: (724) 940-3963
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INNOVATIVE ENDODONTICS NORTH is an endodontics dentist in Sewickley, PA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. INNOVATIVE ENDODONTICS NORTH NPI is 1023428679. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2593 WEXFORD BAYNE RD
SUITE 304
SEWICKLEY, PA
ZIP 15143-608
Phone: (724) 940-3963
Fax: (724) 940-3965

The provider's authorized official is Michael E. Lisien .
The authorized official title is President and has the following contact phone number (724) 940-3963.

The enumeration date for this NPI number is 5/5/2014 and was last updated on 5/5/2014.


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
11223E0200XDentistEndodonticsDS037555PENNSYLVANIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.