Provider Demographics
NPI:1598952962
Name:DAVID C. PICKING, DMD, PC
Entity Type:Organization
Organization Name:DAVID C. PICKING, DMD, PC
Other - Org Name:FITZGERALD AND PICKING DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:PICKING
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-335-7800
Mailing Address - Street 1:3058 LEECHBURG RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LOWER BURRELL
Mailing Address - State:PA
Mailing Address - Zip Code:15068-3460
Mailing Address - Country:US
Mailing Address - Phone:724-335-7800
Mailing Address - Fax:724-335-1770
Practice Address - Street 1:3058 LEECHBURG RD
Practice Address - Street 2:SUITE 5
Practice Address - City:LOWER BURRELL
Practice Address - State:PA
Practice Address - Zip Code:15068-3460
Practice Address - Country:US
Practice Address - Phone:724-335-7800
Practice Address - Fax:724-335-1770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024884L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty