Provider Demographics
NPI:1477683027
Name:JOHN S. WARWICK DMD
Entity Type:Organization
Organization Name:JOHN S. WARWICK DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:WARWICK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-391-1130
Mailing Address - Street 1:ONE MELLON CENTER
Mailing Address - Street 2:500 GRANT STREET UPPER LOBBY
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219
Mailing Address - Country:US
Mailing Address - Phone:412-391-1130
Mailing Address - Fax:412-391-2992
Practice Address - Street 1:ONE MELLON CENTER
Practice Address - Street 2:500 GRANT STREET UPPER LOBBY
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219
Practice Address - Country:US
Practice Address - Phone:412-391-1130
Practice Address - Fax:412-391-2992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025782-L305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization