Provider Demographics
NPI:1053465823
Name:SEMASHKO, GREGORY M (DDS)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:M
Last Name:SEMASHKO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9155 MARSHALL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-2917
Mailing Address - Country:US
Mailing Address - Phone:724-452-7080
Mailing Address - Fax:724-452-4181
Practice Address - Street 1:9155 MARSHALL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-2917
Practice Address - Country:US
Practice Address - Phone:724-452-7080
Practice Address - Fax:724-452-4181
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028063L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics