Provider Demographics
NPI:1285021899
Name:JOHN S WARWICK III
Entity Type:Organization
Organization Name:JOHN S WARWICK III
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:WARWICK
Authorized Official - Suffix:III
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-996-5519
Mailing Address - Street 1:500 GRANT ST UPPR LOBBY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-2502
Mailing Address - Country:US
Mailing Address - Phone:412-391-1130
Mailing Address - Fax:
Practice Address - Street 1:500 GRANT ST UPPR LOBBY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-2502
Practice Address - Country:US
Practice Address - Phone:412-391-1130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA025782122300000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty