Provider Demographics
NPI:1083614143
Name:PASQUAL, HARRY PAUL (DMD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:PAUL
Last Name:PASQUAL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:MT LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1909
Mailing Address - Country:US
Mailing Address - Phone:412-563-5100
Mailing Address - Fax:412-563-5113
Practice Address - Street 1:603 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:MT LEBANON
Practice Address - State:PA
Practice Address - Zip Code:15228-1909
Practice Address - Country:US
Practice Address - Phone:412-563-5100
Practice Address - Fax:412-563-5113
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024177L1223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU10073Medicare UPIN
PAPA536894Medicare ID - Type Unspecified