Provider Demographics
NPI:1437445723
Name:PISKORSKI, NOAH LUKE (DDS)
Entity Type:Individual
Prefix:MR
First Name:NOAH
Middle Name:LUKE
Last Name:PISKORSKI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 224
Mailing Address - Street 2:1626 L ST.
Mailing Address - City:ORD
Mailing Address - State:NE
Mailing Address - Zip Code:68862-0224
Mailing Address - Country:US
Mailing Address - Phone:308-346-4988
Mailing Address - Fax:308-346-9103
Practice Address - Street 1:1626 L ST
Practice Address - Street 2:
Practice Address - City:ORD
Practice Address - State:NE
Practice Address - Zip Code:68862-0224
Practice Address - Country:US
Practice Address - Phone:308-728-3756
Practice Address - Fax:308-728-3207
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-24
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6961122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist