Nicholas J Fedorka Dmd Pc
LBN: Nicholas J Fedorka Dmd Pc
Nicholas J Fedorka Dmd Pc is an health care organization with primary practice located at 505 Poplar Street , Meadville PA 16335. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as the primary health care specialty.
Nicholas J Fedorka Dmd Pc can be contacted via phone (814) 333-4454, or through Fedorka, Nicholas Jerome via phone (814) 336-3357.
Contact Information
Primary practice address
505 Poplar Street
Meadville PA 16335
Phone: (814) 333-4454
Fax: (814) 336-3357
Website:
Authorized official contact:
Name: Fedorka, Nicholas Jerome Doctor of Dental Medicine (DMD)
Phone: (814) 336-3357
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | DS023205L | Pennsylvania |
Profile Details
| NPI number | 1265571426 |
|---|---|
| LBN Legal business name | Nicholas J Fedorka Dmd Pc |
| DBA Doing business as | |
| Authorized official | Fedorka, Nicholas Jerome Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Oct 2nd, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265571426 | NPPES |
| Pennsylvania | MEDICAID | 0008854040002 | |
| Pennsylvania | MEDICAID | 0008854040004 | |
| Pennsylvania | Other | 134372 | |
| Pennsylvania | Other | 103082 |
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