Provider Demographics
NPI:1164508396
Name:PINIUK, ANTHONY J (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:J
Last Name:PINIUK
Suffix:
Gender:M
Credentials:DDS
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Other - Credentials:
Mailing Address - Street 1:101 N FRONT ST
Mailing Address - Street 2:DR ANTHONY J PINIUK DDS
Mailing Address - City:PHILIPSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16866-1603
Mailing Address - Country:US
Mailing Address - Phone:814-342-1090
Mailing Address - Fax:814-343-2597
Practice Address - Street 1:101 N FRONT ST
Practice Address - Street 2:DR ANTHONY J PINIUK DDS
Practice Address - City:PHILIPSBURG
Practice Address - State:PA
Practice Address - Zip Code:16866-1603
Practice Address - Country:US
Practice Address - Phone:814-342-1090
Practice Address - Fax:814-343-2597
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS023583L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice