DR. MARIO CZONSTKOWSKY (NPI# 1780696450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780696450 |
| Entity Type | Individual |
| Full Name | DR. MARIO CZONSTKOWSKY |
| Credential | D.M.D., M.D.S. |
| Practice Address |
410 S Craig St Suite 101 Pittsburgh PA 15213-3709 |
| Practice Telephone | 4126812991 |
| Practice Fax Number | 4126812664 |
| Mailing Telephone | 4126812991 |
| Mailing Fax Number | 4126812664 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DSO26059-L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | ENDODONTICS | DSO26059-L | 01 |
| Street Address |
410 S CRAIG ST SUITE 101 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15213-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942359328 | Mark D Malvin | Dentist | 410 S Craig St, Suite 102, Pittsburgh, PA 15213-3709 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312951 | Bozena Agnieszka Brooks Larsen | Nurse Anesthetist, Certified Registered | Upmc Presbyterian, 200 Lothrop Street, Pittsburgh, PA 15213 | 2020-10-05 |
| 1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
| 1487264750 | Cornelius Norval Holmes | Counselor | Iacp - Upmc Center for Care of Infectious Diseases, Falk Medical Building, 3601 Fifth Avenue, Suite 700, Pittsburgh, PA 15213 | 2020-08-03 |
| 1396354338 | Brittany Briana Bromfield | Student in an Organized Health Care Education/Training Program | 3459 5th Ave S Ste #9, Pittsburgh, PA 15213 | 2020-07-27 |
| 1003434309 | Dominika Dulak | Student in an Organized Health Care Education/Training Program | 200 Lothrup St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-07-13 |
| 1477176303 | Clark Stallings | Student in an Organized Health Care Education/Training Program | 240 University Drive C, Pittsburgh, PA 15213 | 2020-05-27 |
| 1063034007 | Yue Qiu | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr, Suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1598387516 | Bushra Usmani | Student in an Organized Health Care Education/Training Program | 200 Lothrop St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-05-13 |
| 1306468335 | Krupa Patel | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr-suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1548882798 | Stephen Henry Bayer | Student in an Organized Health Care Education/Training Program | 3471 5th Ave Upmc Department of Orthopedic Surgery, Kaufman Medical Building Suite 1010, Pittsburgh, PA 15213 | 2020-05-11 |
| Find all providers in zip 15213 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487147039 | Three Rivers Endodontics East LLC | Dentist | 5770 Baum Blvd Ste 150, Pittsburgh, PA 15206-3763 | 2018-06-08 |
| 1558868182 | Downtown Endodontics, LLC | Dentist | 125 Sixth Street, Suite A, Pittsburgh, PA 15222 | 2018-04-10 |
| 1295141091 | Shahryar Nasir Khaliq | Dentist | 427 Salk Hall, Pittsburgh, PA 15261-1904 | 2014-07-01 |
| 1578994596 | Patrick E Dahlkemper | Dentist | 1000 Gamma Dr Ste 108, Pittsburgh, PA 15238-2923 | 2013-12-01 |
| 1215183744 | Endodontic Associates | Dentist | 3516 5th Ave, Suite #2, Pittsburgh, PA 15213-3332 | 2008-08-15 |
| 1629283072 | John R Mellett | Dentist | 101 Emerson Avenue, Pittsburgh, PA 15215 | 2007-05-11 |
| 1043357429 | Nestor Foronda | Dentist | 563 Epsilon Dr Ste 200, Pittsburgh, PA 15238-2816 | 2007-02-01 |
| 1841346822 | Allegheny Endodontics LLC | Dentist | 86 Ft Couch Rd, Allegheny Endodontic Specialists Inc, Pittsburgh, PA 15241 | 2007-01-25 |
| 1902976889 | Michael J Korch | Dentist | 5770 Baum Blvd # 150, Pittsburgh, PA 15206-3763 | 2006-11-08 |
| 1134298151 | Gary B. Schultz, Dmd, PC | Dentist | 4139 Brownsville Rd, Pittsburgh, PA 15227-3306 | 2006-11-06 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15213 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.