Provider Demographics
NPI:1659727220
Name:CRASTO, NICOLE CHRISTINE (DDS)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:CHRISTINE
Last Name:CRASTO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:CHRISTINE
Other - Last Name:SCHECKELHOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:320 EUTAW STREET
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-2325
Mailing Address - Country:US
Mailing Address - Phone:567-454-0273
Mailing Address - Fax:
Practice Address - Street 1:125 WAGNER RD
Practice Address - Street 2:SUITE 7
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-2457
Practice Address - Country:US
Practice Address - Phone:724-774-2500
Practice Address - Fax:724-774-2800
Is Sole Proprietor?:No
Enumeration Date:2016-05-12
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS040779122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist