Provider Demographics
NPI:1194819292
Name:JOSEPH C. LOBICHUSKY, DDS ASSOCIATES
Entity Type:Organization
Organization Name:JOSEPH C. LOBICHUSKY, DDS ASSOCIATES
Other - Org Name:JOSEPH C. LOBICHUSKY, DDS ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:C
Authorized Official - Last Name:LOBICHUSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:570-773-2700
Mailing Address - Street 1:15 SOUTH 'B' STREET
Mailing Address - Street 2:
Mailing Address - City:MAHANOY CITY
Mailing Address - State:PA
Mailing Address - Zip Code:17948
Mailing Address - Country:US
Mailing Address - Phone:570-773-2700
Mailing Address - Fax:
Practice Address - Street 1:15 SOUTH 'B' STREET
Practice Address - Street 2:
Practice Address - City:MAHANOY CITY
Practice Address - State:PA
Practice Address - Zip Code:17948
Practice Address - Country:US
Practice Address - Phone:570-773-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS017181-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty