Provider Demographics
NPI:1346459930
Name:SEGAL, JANE KAREN (DMD,MDS)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:KAREN
Last Name:SEGAL
Suffix:
Gender:F
Credentials:DMD,MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4036 JUPITER DR
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-3171
Mailing Address - Country:US
Mailing Address - Phone:412-487-0220
Mailing Address - Fax:
Practice Address - Street 1:4036 JUPITER DR
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-3171
Practice Address - Country:US
Practice Address - Phone:412-487-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022405L1223P0300X
OH30.0181821223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics