Provider Demographics
NPI:1336324029
Name:JAMES A. DIPERNA, DMD, P.C.
Entity Type:Organization
Organization Name:JAMES A. DIPERNA, DMD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:DIPERNA
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-963-1911
Mailing Address - Street 1:563 EPSILON DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-2816
Mailing Address - Country:US
Mailing Address - Phone:412-963-1911
Mailing Address - Fax:412-967-1972
Practice Address - Street 1:563 EPSILON DR
Practice Address - Street 2:SUITE 300
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-2816
Practice Address - Country:US
Practice Address - Phone:412-963-1911
Practice Address - Fax:412-967-1972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-01
Last Update Date:2008-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-025943-L261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental