Provider Demographics
NPI:1184838088
Name:PASTUCKA & SAUVE DENTAL ASSOCIATES
Entity Type:Organization
Organization Name:PASTUCKA & SAUVE DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:SAUVE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:717-697-9494
Mailing Address - Street 1:6103 CARLISLE PIKE
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2304
Mailing Address - Country:US
Mailing Address - Phone:717-697-9494
Mailing Address - Fax:
Practice Address - Street 1:6103 CARLISLE PIKE
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2304
Practice Address - Country:US
Practice Address - Phone:717-697-9494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0206471223G0001X
PA0306201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty