Provider Demographics
NPI:1609985696
Name:PAGASKY, JOHN W (DDS)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:W
Last Name:PAGASKY
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 1:937 BEAVER GRADE RD
Mailing Address - Street 2:
Mailing Address - City:CORAOPLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108
Mailing Address - Country:US
Mailing Address - Phone:412-262-5420
Mailing Address - Fax:
Practice Address - Street 1:937 BEAVER GRADE RD
Practice Address - Street 2:
Practice Address - City:CORAOPLIS
Practice Address - State:PA
Practice Address - Zip Code:15108
Practice Address - Country:US
Practice Address - Phone:412-262-5420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA19137L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice