Provider Demographics
NPI:1518973213
Name:PAGNOTTO, MICHAEL JOSEPH JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:PAGNOTTO
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9370 MCKNIGHT RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5953
Mailing Address - Country:US
Mailing Address - Phone:412-364-1477
Mailing Address - Fax:412-364-6833
Practice Address - Street 1:9370 MCKNIGHT RD
Practice Address - Street 2:SUITE 302
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5953
Practice Address - Country:US
Practice Address - Phone:412-364-1477
Practice Address - Fax:412-364-6833
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS182521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice